Susan L Royer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009289 Issued in IN

Practice address

9291 E 109TH Ave
Crown Point, IN 46307-8676

Phone

(219) 663-4024

NPI assigned

Jun 20, 2008

Last updated

Aug 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

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.

• Susan L Royer DDS Professional Corporation

  dba Susan L Royer DDS PC

  • Dental Clinic/Center
  • Crown Point, IN
  • NPI 1700295771
  NPD (past) Authorized official

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1538320635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2587 W 65TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102833",
            "telephone_number": "219-663-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 E 109TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078676",
            "telephone_number": "219-663-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYER",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009289",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019022078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Marie Rossiter, AGPCNP
• Kelly Ann Roth, CPO
• Kasey Theodora Rothchild, FNP-C
• Lindsey Rowan
• Donna Marie Rowell, RPH
• Ralph T. Rucinski, D.D.S.
• Abigail Ruiz
• Dana Marie Rund, MS, OTR
• Virginia Rundel
• Rush-Select Holdings, LLC (RUSH Physical Therapy)

• General Practice Dentistry in Crown Point, IN
• Providers in Crown Point, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.

Verify at the official NPI Registry.