Susan Dickerson Muth, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9573 Issued in NC

Practice address

1834 Jake Alexander Blvd W
Suite 504
Salisbury, NC 28147-1135

Phone

(704) 636-1848

Fax

(704) 636-4890

NPI assigned

Jul 9, 2012

Sex

Female

Sole proprietor

No

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 NC

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 and National Provider Directory roles.

• Donald R Fortner Jr DMD

  • General Practice Dentistry
  • Salisbury, NC
  • NPI 1205868080
  NPD (past)
• Tyler Brown DDS PLLC

  • General Practice Dentistry
  • Salisbury, NC
  • NPI 1417742941
  NPD (past)

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1598020257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 JAKE ALEXANDER BLVD W",
            "address_2": "SUITE 504",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471135",
            "telephone_number": "704-636-1848",
            "fax_number": "704-636-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 JAKE ALEXANDER BLVD W",
            "address_2": "SUITE 504",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471135",
            "telephone_number": "704-636-1848",
            "fax_number": "704-636-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTH",
        "first_name": "SUSAN",
        "middle_name": "DICKERSON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413606",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Eileen Murray, PHARMD
• Michelle Herwig Musselwhite, RD, LDN
• Sarah Musselwhite
• Sadie L Mussler, AUD
• Christian Musto
• Amruthavalli Muthu
• Earl Joseph Myers, M.D.
• Kim Morgan Myers, MD
• Myeyedr Optometry of North Carolina PLLC (MyEyeDr.)
• Annabelle Nagy, RN

• General Practice Dentistry in Salisbury, NC
• Providers in Salisbury, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.