Individual provider Active NPI

Jannaye Susanne Huser, DDS

  • General Practice Dentistry
  • Muncie, IN
National Provider Identifier
1821611625
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12013353A Issued in IN
Practice address
3905 N Wheeling Ave
Muncie, IN 47304-1769
Phone
(765) 286-4017
NPI assigned
May 27, 2020
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12013353A IN Primary

Addresses

Primary practice location

3905 N Wheeling Ave
Muncie, IN 47304-1769

Mailing address

3905 N Wheeling Ave
Muncie, IN 47304-1769
Phone (765) 286-4017

Other practice location 1

2220 W McGalliard Rd
Muncie, IN 47304-2188
Phone (765) 286-4017

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Orthodontics of Indiana, LLC CurrentSince Jun 23, 2024 Accepting new patients
Boone County Community Health Clinic, Inc CurrentSince Dec 1, 2020 Accepting new patients
Jeffrey a. Rector, D.D.S., LLC PastSince Jun 23, 2024 Accepting new patients
Dr Alyssa Fisher LLC PastSince Jan 1, 2022 Accepting new patients
Riggs Community Health Center Inc PastSince Jan 5, 2021 Accepting new patients
Dr. L Gary Painter PC PastSince Jan 1, 2022 Accepting new patients

Locations

416 W Camp St
Lebanon, IN 46052
Phone (765) 483-4469

3905 N Wheeling Ave
Muncie, IN 47304
Phone (765) 286-4017

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1821611625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 N WHEELING AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473041769",
            "telephone_number": "765-286-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 N WHEELING AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473041769",
            "telephone_number": "765-286-4017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 W McGalliard Rd",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473042188",
            "country_code": "US",
            "telephone_number": "765-286-4017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSER",
        "first_name": "JANNAYE",
        "middle_name": "SUSANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013353A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.