DR. SUSAN KATHERINE BLAIR (NPI# 1013204387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013204387 |
| Entity Type | Individual |
| Full Name | DR. SUSAN KATHERINE BLAIR |
| Credential | D.D.S. |
| Practice Address |
201 N Arlington Heights Rd Arlington Heights IL 60004-6059 |
| Practice Telephone | 8476709020 |
| Mailing Telephone | 8476709020 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2017-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
021.002742 | IL | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
021.002753 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760752950 | Susan Marie Blair | Dietitian, Registered | 105 Dean Rd, Sterling, MI 48659-9796 | 2012-01-05 |
| 1649345745 | Susan B. Blair | Marriage & Family Therapist | 349 Main St Ste 1, Gaithersburg, MD 20878-5780 | 2006-11-22 |
| 1942209572 | Susan Diane Blair | Ophthalmology | 4200 N Rodney Parham Rd Ste 101, Little Rock, AR 72212-2458 | 2005-07-15 |
| 1255708640 | Susan Blair | Social Worker | 2307 W 6th St, Los Angeles, CA 90057-3119 | 2015-09-01 |
| 1861736399 | Susan E Blair | Nurse Practitioner | 34700 Valley Rd, Oconomowoc, WI 53066 | 2012-11-21 |
| 1508138942 | Susan B Blair | Marriage & Family Therapist | 1424 Summit Ave, Fort Worth, TX 76102-5912 | 2012-02-01 |
| 1699818591 | Susan Blair | Physical Therapist | 2924 Brook Rd, Children's Hospital Credentialing Dept, Richmond, VA 23220-1215 | 2007-02-14 |
| 1790883684 | Susan Blair | Nurse Practitioner | 11801 South Fwy, Suite 338, Burleson, TX 76028-7021 | 2006-09-21 |
| 1992712319 | Susan M Blair | Pharmacist | 5 Main St, Queensbury, NY 12804-4007 | 2006-08-01 |
| 1104862754 | Susan Slocum Blair | Physical Therapist | 857 Center Ct, Shorewood, IL 60431-8520 | 2006-06-21 |
| Street Address |
201 N ARLINGTON HEIGHTS RD |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60004-6059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073003430 | Jennifer Ann Seluzicki West | Dentist | 201 N Arlington Heights Rd, Arlington Heights, IL 60004-6059 | 2018-05-11 |
| 1447373097 | Renee P. Pappas Durbin | Dentist | 201 N Arlington Heights Rd, Arlington Heights, IL 60004-6059 | 2007-04-09 |
| 1003939992 | Lorelei Lynne Grise' | Dentist | 201 N Arlington Heights Rd, Arlington Heights, IL 60004-6059 | 2007-04-07 |
| 1497815799 | Kenneth Arthur Johnson | Dentist | 201 N Arlington Heights Rd, Arlington Heights, IL 60004-6059 | 2006-12-11 |
| 1881763340 | Thomas M Horrigan | Dentist | 201 N Arlington Heights Rd, Arlington Heights, IL 60004-6059 | 2006-11-07 |
| 1174692990 | Raymond Yu-che Tsou | Dentist | 201 N Arlington Heights Rd, Arlington Heights, IL 60004-6059 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659638 | Wayne L. Tsutsumi | Technician | 1106 E. Mayfair Road, Arlington Heights, IL 60004 | 2019-10-04 |
| 1598275562 | Tyler James Kostecki | Physician Assistant | 3405 North Arlington Heights Road, Arlington Heights, IL 60004 | 2017-10-04 |
| 1104345628 | Diane Kaffka | Speech-Language Pathologist | 2330 N. Verde Ave, Arlington Heights, IL 60004 | 2017-09-15 |
| 1508302373 | Maureen O'connor I | Behavioral Analyst | 3385 N Arlighton Heights Road, Arlighton Heights, IL 60004 | 2017-01-17 |
| 1366985210 | Brian Zulawinski, Dds, LLC | Dentist | 15 N. Arlington Heights Rd, Arlington Heights, IL 60004 | 2016-11-28 |
| 1568918282 | Andrea M Doshi | Speech-Language Pathologist | 1965 N Oakwood Drive, Arlington Heights, IL 60004 | 2016-09-01 |
| 1932514437 | Prone Solutions Inc. | Durable Medical Equipment & Medical Supplies | 126 South Dwyer Avenue, Arlington Heights, IL 60004 | 2014-06-24 |
| 1255751251 | Joann F. Hamm, O.d., P.C. | Optometrist | 1504 N. Arlington Heights Rd., Arlington Heights, IL 60004 | 2014-04-17 |
| 1669891602 | N Joshi Md Sc | Psychiatry & Neurology | 1430 N. Arlington Heights Road Suite 205, Arlington Heights, IL 60004 | 2014-04-07 |
| 1891123329 | Dana Portman | Pharmacist | 325 Palatine Road, Arlington Heights, IL 60004 | 2013-10-18 |
| Find all providers in zip 60004 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295953529 | Victoria A Ursitti | Dentist | 1845 E Rand Rd Ste 203, Arlington Heights, IL 60004-4359 | 2007-04-23 |
| 1043597305 | Pediatric and Family Dentistry PC | Dentist | 15 S Dryden Pl, Arlington Heights, IL 60004-6369 | 2011-11-14 |
| 1558460212 | Allen David Bagdade | Dentist | 15 S Dryden Pl, E, Arlington Heights, IL 60004-6369 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709433 | Children's Center for Dentistry | Dentist | 314 Susan Dr, Normal, IL 61761-6206 | 2020-10-26 |
| 1073125746 | Jessica Mattern Dds, Pllc | Dentist | 326 W Burlington Ave, La Grange, IL 60525-2363 | 2020-08-23 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1710450754 | Drs Selberg & Rice Pllc | Dentist | 4945 Stone Falls Ctr Ste B, O Fallon, IL 62269-7801 | 2019-01-02 |
| 1821583634 | Dentalgenix | Dentist | 113 E Schaumburg Rd, Schaumburg, IL 60194-3518 | 2018-06-25 |
| 1528562253 | Rachel Vorwaller | Dentist | 1460 N Halsted St Ste 403, Chicago, IL 60642-2607 | 2018-03-19 |
| 1942740006 | Dhwani M. Joshi | Dentist | 195 S Rand Rd Ste 110, Lake Zurich, IL 60047-2205 | 2017-03-08 |
| 1316393390 | Erin Marie Petrik | Dentist | 2530 N Clark St, Apt 203, Chicago, IL 60614-4972 | 2016-05-10 |
| 1669839593 | Algonquin Kids Dentistry, Inc | Dentist | 4097 W Algonquin Rd, Algonquin, IL 60102-9401 | 2016-01-22 |
| 1720468598 | Mehedia Haque | Dentist | 2062 N Milwaukee Ave, Chicago, IL 60647 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60004 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.