Active NPI
Susan L Royer DDS Professional Corporation
- Dental Clinic/Center
- Crown Point, IN
National Provider Identifier
1700295771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 12009289
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan Royer, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Crown Point, IN
- NPI 1538320635
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.