Active NPI
Susan McBeth
- Orthodontics and Dentofacial Orthopedics Dentistry
- Rogers, AR
National Provider Identifier
1467507061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 234
- Practice address
- 500 N Dixieland Rd
Suite 1
Rogers, AR 72756-3212 - Phone
- (479) 621-8229
- Fax
- (479) 621-6724
- NPI assigned
- Jan 24, 2007
- Last updated
- Dec 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 234 | OK | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 90 | AR |
Addresses
Primary practice location
500 N Dixieland Rd
Suite 1
Rogers, AR 72756-3212
Mailing address
4417 W Gore Blvd Ste 11
Lawton, OK 73505-5978
Phone (479) 366-0938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90 | AR | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 234 | OK | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1467507061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4417 W GORE BLVD STE 11",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055978",
"telephone_number": "479-366-0938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N DIXIELAND RD",
"address_2": "SUITE 1",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563212",
"telephone_number": "479-621-8229",
"fax_number": "479-621-6724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBETH",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OK",
"license": "234",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AR",
"license": "90",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.