Organization Active NPI

Susan L Royer DDS Professional Corporation

  • Dental Clinic/Center
  • Crown Point, IN
National Provider Identifier
1700295771
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12009289 Issued in IN
Legal business name
SUSAN L ROYER DDS PROFESSIONAL CORPORATION
Practice address
9291 E 109TH Ave
Crown Point, IN 46307-8676
Phone
(219) 663-4024
NPI assigned
Aug 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Dr. Susan Royer, DDSNPI 1538320635
Title
Owner/Ceo
Phone
(219) 663-4024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12009289 IN Primary
Dental Clinic/Center 261QD0000X 019022078 IL

Addresses

Primary practice location

9291 E 109TH Ave
Crown Point, IN 46307-8676

Mailing address

2587 W 65TH Ave
Merrillville, IN 46410-2833
Phone (219) 663-4024

Other names 1

  • Susan L Royer DDS PC Doing business as

National Provider Directory

National Provider Directory

Locations

9291 E 109th Ave
Crown Point, IN 46307
Phone (219) 663-4024

Practitioners & affiliated clinicians

Practitioners 1

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": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1700295771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2587 W 65TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102833",
            "telephone_number": "219-663-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 E 109TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078676",
            "telephone_number": "219-663-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN L ROYER DDS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "ROYER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "219-663-4024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12009289",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019022078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan L Royer DDS PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.