Individual provider Active NPI

Susana Sexauer, RDH

  • Dental Hygienist
  • Las Cruces, NM
National Provider Identifier
1568210953
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH3507 Issued in NM
Practice address
3855 Foothills Rd Ste C
Las Cruces, NM 88011-4772
Phone
(505) 660-2558
NPI assigned
May 9, 2024
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH3507 NM Primary

Addresses

Primary practice location

3855 Foothills Rd Ste C
Las Cruces, NM 88011-4772

Mailing address

3855 Foothills Rd Ste C
Las Cruces, NM 88011-4772
Phone (505) 660-2558

Other practice location 1

3649 Santa Minerva Ave
Las Cruces, NM 88012-7986
Phone (505) 660-2558

Other practice location 2

103 Livingston Loop Ste B3
Santa Teresa, NM 88008-9762
Phone (505) 660-5558

Other names 1

  • Susana Sexauer Professional name

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

LicenseStateTypeSpecialty
DH3507NMMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1568210953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 FOOTHILLS RD STE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114772",
            "telephone_number": "505-660-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 FOOTHILLS RD STE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114772",
            "telephone_number": "505-660-2558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3649 Santa Minerva Ave",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880127986",
            "country_code": "US",
            "telephone_number": "505-660-2558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Livingston Loop Ste B3",
            "address_purpose": "LOCATION",
            "city": "Santa Teresa",
            "state": "NM",
            "postal_code": "880089762",
            "country_code": "US",
            "telephone_number": "505-660-5558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEXAUER",
        "first_name": "SUSANA",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH3507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANA",
            "last_name": "SEXAUER",
            "credential": "OMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.