Jeanie M Sucin, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

3093 Issued in SC

Practice address

3404 Cokesbury Road
Hodges, SC 29653

Phone

(864) 227-6911

Fax

(864) 227-8678

NPI assigned

Jan 9, 2008

Last updated

Feb 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jeanie M Robinson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Piedmont Family Dentistry, PA

  • General Practice Dentistry
  • Hodges, SC
  • NPI 1164697181
  NPD (past)

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1457536369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 COKESBURY ROAD",
            "city": "HODGES",
            "state": "SC",
            "postal_code": "29653",
            "telephone_number": "864-227-6911",
            "fax_number": "864-227-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 COKESBURY ROAD",
            "city": "HODGES",
            "state": "SC",
            "postal_code": "29653",
            "telephone_number": "864-227-6911",
            "fax_number": "864-227-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCIN",
        "first_name": "JEANIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANIE",
            "last_name": "ROBINSON",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Self Medical Group
• Self Regional Healthcare (Family Healthcare North Greenwood)
• Self Regional Healthcare (Family Healthcare North Greenwood)
• William Eric Stanley, PA-C
• Robin C Stone, MD
• Barbara Gulesserian Warner, MS, PMHCNS - BC

• Dentist in Hodges, SC
• Providers in Hodges, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.