Susan M. Boykin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6401 Issued in NC

Practice address

101 E Market St
Suite 2a
Smithfield, NC 27577-3915

Phone

(919) 934-3409

Fax

(919) 934-2128

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bales & Simpson,D.D.S., P.a.

  • General Practice Dentistry
  • Smithfield, NC
  • NPI 1013131036
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1992845143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275770635",
            "telephone_number": "919-934-3409",
            "fax_number": "919-934-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MARKET ST",
            "address_2": "SUITE 2A",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773915",
            "telephone_number": "919-934-3409",
            "fax_number": "919-934-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "SUSAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995511",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "95511",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Keren Boc, DDS
• Jennifer Annette Borders, MA. CCC-SLP
• Hajar Boucteb
• Susan Caroline Bowles, LCSWA
• Allison Jean Boyke, LPCA
• Cayce Bradley Johnson, DPT
• Siobhan Claire Brennan, PNP
• Brewer Counseling Agency, PLLC
• Alexis Louise Brewer, LCSW
• Bridgebuilders Family and Youth Services, Inc

• General Practice Dentistry in Smithfield, NC
• Providers in Smithfield, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.