Individual provider Active NPI

Susan Kaye Carter-O'Shea, DDS

  • Dentist
  • Aiken, SC
National Provider Identifier
1720004765
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9525 Issued in SC
Practice address
420 Hitchcock Pkwy
Aiken, SC 29801-3398
Phone
(803) 648-6400
Fax
(803) 648-3662
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9525 SC Primary

Addresses

Primary practice location

420 Hitchcock Pkwy
Aiken, SC 29801-3398

Mailing address

420 Hitchcock Pkwy
Aiken, SC 29801-3398
Phone (803) 648-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9525SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shirer Family Dentistry GPS LLC CurrentSince Jul 28, 2025 Accepting new patients
Shirer Family Dentistry LLC PastSince Feb 27, 2022 Accepting new patients

Locations

420 Hitchcock Pkwy
Aiken, SC 29801
Phone (803) 648-6400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1720004765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HITCHCOCK PKWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013398",
            "telephone_number": "803-648-6400",
            "fax_number": "803-648-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HITCHCOCK PKWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013398",
            "telephone_number": "803-648-6400",
            "fax_number": "803-648-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER-O'SHEA",
        "first_name": "SUSAN",
        "middle_name": "KAYE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.