Susanne O. Core, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4924 Issued in LA

Practice address

73193 Hwy 25
Covington, LA 70435

Phone

(985) 630-6906

Fax

(985) 796-5315

NPI assigned

Oct 25, 2006

Last updated

Jun 23, 2016By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Susanne O. Core DMD PDC Family Dentistry

  • Dentist
  • Covington, LA
  • NPI 1366725582
  Authorized official Same address or phone

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1609950518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73193 HWY 25",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70435",
            "telephone_number": "985-630-6906",
            "fax_number": "985-796-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73193 HWY 25",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70435",
            "telephone_number": "985-630-6906",
            "fax_number": "985-796-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORE",
        "first_name": "SUSANNE",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "2392-88",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00060246",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Conti
• Jordan Conway, BCBA, LBA
• Morgan Laurent Cookmeyer, MD
• Raney L Cooney, O.T.
• Lauren Nicole Cooper, MD
• Heather Corley
• Cornerstone Diagnostics LLC
• Correct Care, Inc.
• Ralph Larry Corsetti, M.D.
• Dimetry Benedict Cossich Jr., DDS

• General Practice Dentistry in Covington, LA
• Providers in Covington, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.