Individual provider Active NPI

Susan S Plotnick, D.M.D.

  • General Practice Dentistry
  • Jamison, PA
National Provider Identifier
1447381017
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS024705L Issued in PA
Practice address
1672 Fairway Dr
Jamison, PA 18929-1078
Phone
(215) 343-0900
Fax
(215) 491-0916
NPI assigned
Mar 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS024705L PA Primary

Addresses

Primary practice location

1672 Fairway Dr
Jamison, PA 18929-1078

Mailing address

1672 Fairway Dr
Jamison, PA 18929-1078
Phone (215) 343-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618001139 PA Order and Referring Only - DentistPractitioner - Dentist 6901117878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447381017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 FAIRWAY DR",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291078",
            "telephone_number": "215-343-0900",
            "fax_number": "215-491-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 FAIRWAY DR",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291078",
            "telephone_number": "215-343-0900",
            "fax_number": "215-491-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTNICK",
        "first_name": "SUSAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024705L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamison, PA

Sources for this page

Verify at the official NPI Registry.