Susana R Aguero, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21492 Issued in MA

Practice address

50 Holyoke St
Holyoke, MA 01040-2709

Phone

(413) 887-8318

Fax

(413) 534-0900

NPI assigned

Jan 22, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

Other names 1

• Susana Barnett Aguero Former name

Medicare fee-for-service enrollment

Enrolled in MA

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

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.

• St. Joseph's Family Dental

  • General Practice Dentistry
  • Ludlow, MA
  • NPI 1255504932
  Authorized official Same address or phone
• St.Joseph's Family Dental,LLC

  • Dentist
  • Ludlow, MA
  • NPI 1104154780
  Authorized official Same address or phone

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558415141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HOLYOKE ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOLYOKE ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402709",
            "telephone_number": "413-887-8318",
            "fax_number": "413-534-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUERO",
        "first_name": "SUSANA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206717",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANA",
            "last_name": "AGUERO",
            "middle_name": "BARNETT",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Advanced Back & Neck Center of Holyoke
• Rudegelio A. Agana, M.D.
• Mukesh Agarwal
• Constance Agin
• Ingrid Agis, MS, MHC
• Patricia Enid Aguilar
• Ayad Yaseen Ahmed, D.M.D.
• Wilma Alta Aiken, LICSW
• Alisa M Ainbinder
• Ayotunde Alexandra Akinwande, DNP, APRN, FNP-BC

• General Practice Dentistry in Holyoke, MA
• Providers in Holyoke, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.