Organization Active NPI

Susan Payne DDS

  • General Practice Dentistry
  • Abilene, TX
National Provider Identifier
1639459076
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18786 Issued in TX
Legal business name
SUSAN PAYNE DDS
Practice address
2381 S 32ND Street
Abilene, TX 79605-7029
Phone
(325) 682-9191
NPI assigned
Aug 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Dr. Susan Payne, DDS
Title
Owner
Phone
(325) 672-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18786 TX Primary

Addresses

Primary practice location

2381 S 32ND Street
Abilene, TX 79605-7029

Mailing address

2381 S 32ND Street
Abilene, TX 79605-7029
Phone (325) 682-9191

Other identifiers 1

IdentifierTypeStateIssuer
0093445-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

2381 S 32nd St
Abilene, TX 79605
Phone (325) 672-9191

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1639459076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 S 32ND STREET",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796057029",
            "telephone_number": "325-682-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 S 32ND STREET",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796057029",
            "telephone_number": "325-682-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN PAYNE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-672-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093445-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.