Active NPI
Susan Jeffers Aten, D.D.S.
- Dentist
- Richardson, TX
National Provider Identifier
1477656726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12534
- Practice address
- 721 W Arapaho Rd Ste 102
Richardson, TX 75080-4155 - Phone
- (972) 669-2460
- Fax
- (972) 437-5476
- NPI assigned
- Sep 5, 2006
- Last updated
- Jul 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12534 | TX | Primary |
Addresses
Primary practice location
721 W Arapaho Rd Ste 102
Richardson, TX 75080-4155
Mailing address
500 N. Coit Road
Suite 2094
Richardson, TX 75080-6230
Phone (972) 669-2460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160414000553 | TX | Order and Referring Only - Oral Surgery | 8820396468 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12534 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1477656726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N. COIT ROAD",
"address_2": "SUITE 2094",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750806230",
"telephone_number": "972-669-2460",
"fax_number": "972-437-5476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 W ARAPAHO RD STE 102",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750804155",
"telephone_number": "972-669-2460",
"fax_number": "972-437-5476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATEN",
"first_name": "SUSAN",
"middle_name": "JEFFERS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "12534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
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- Whitney Aswell, M.S., CCC/SLP
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.