Active NPI
Susan Helen Carron, D.D.S., M.S.
- Pediatric Dentistry
- Novi, MI
National Provider Identifier
1841245495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2901011539
- Practice address
- 40105 Grand River Ave
Suite 2
Novi, MI 48375-2115 - Phone
- (248) 478-3232
- Fax
- (248) 478-8018
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2901011539 | MI | Primary |
Addresses
Primary practice location
40105 Grand River Ave
Suite 2
Novi, MI 48375-2115
Mailing address
40105 Grand River Ave
Suite 2
Novi, MI 48375-2115
Phone (248) 478-3232
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 613152 | Other | MI | UNITED CONCORDIA |
| D802-825 | Other | MI | BLUE CROSS BLUE SHIELD |
Other names 1
- Dr. Susan Helen Carron-Simon
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901011539 | MI | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olde Orchard Pediatric Dentistry | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Susan H. Carron, D.D.S., M.S.
- Pediatric Dentistry
- Novi, MI
- NPI 1265682900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1841245495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40105 GRAND RIVER AVE",
"address_2": "SUITE 2",
"city": "NOVI",
"state": "MI",
"postal_code": "483752115",
"telephone_number": "248-478-3232",
"fax_number": "248-478-8018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40105 GRAND RIVER AVE",
"address_2": "SUITE 2",
"city": "NOVI",
"state": "MI",
"postal_code": "483752115",
"telephone_number": "248-478-3232",
"fax_number": "248-478-8018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRON",
"first_name": "SUSAN",
"middle_name": "HELEN",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MI",
"license": "2901011539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "613152",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "D802-825",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "CARRON-SIMON",
"middle_name": "HELEN",
"prefix": "DR.",
"credential": "D.D.S., M.S.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.