SUSAN M MAURER (NPI# 1730243296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730243296 |
| Entity Type | Individual |
| Full Name | SUSAN M MAURER |
| Credential | D.M.D. |
| Practice Address |
3020 Happy Landing Dr Springfield IL 62711-6259 |
| Practice Telephone | 2175469166 |
| Practice Fax Number | 2175467804 |
| Mailing Telephone | 2175469166 |
| Mailing Fax Number | 2175467804 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1002880 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871855627 | Susan Lee Maurer | Specialist | 205 Travis St, Lindenhurst, NY 11757-5049 | 2012-06-07 |
| 1114123270 | Susan M Maurer | Nutritionist | 15 Corporate Park Drive, Trumbull, CT 06611 | 2007-06-26 |
| 1700873890 | Susan J Maurer | Physician Assistant | 15o1 Government Rd, Key West, FL 33040-5108 | 2005-10-04 |
| 1700327129 | Susan Maurer | Nurse Practitioner | 6600 30th Ave N, St Petersburg, FL 33710-3102 | 2017-03-17 |
| 1659711521 | Susan M. Maurer | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232 | 2013-06-25 |
| 1649488784 | Susan Maurer | Counselor | 2601 E Roosevelt St, Phoenix, AZ 85008 | 2007-05-21 |
| 1619199684 | Susan Maurer | Nurse Anesthetist, Certified Registered | 6660 Sw 117th Ave, Miami, FL 33183-2826 | 2007-05-02 |
| 1306831367 | Susan Berney Maurer | Radiology | 1221 Pleasant St, Ste 150, Des Moines, IA 50309 | 2005-09-15 |
| Street Address |
3020 HAPPY LANDING DR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62711-6259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057220 | Merissa Pryor | Social Worker | 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711 | 2018-06-17 |
| 1255884623 | Dental Professionals of Illinois, P.C. | Dentist | 2740 Prairie Crossing Drive, Springfield, IL 62711 | 2016-08-02 |
| 1841682424 | Americare At Centennial Pointe Assisted Living LLC | Assisted Living Facility | 3440 Hedley Road, Springfield, IL 62711 | 2015-02-19 |
| 1306249248 | Schon Dental, LLC | Dentist | 2809 Mansion Road Suite D, Springfield, IL 62711 | 2014-10-07 |
| 1891105490 | John Weiss | Pharmacist | 4200 Conestoga Drive, Springfield, IL 62711 | 2014-05-05 |
| 1720350689 | Victor Harold Lary | Family Medicine | 3251 Spaulding Orchard Road, Springfield, IL 62711 | 2012-02-07 |
| 1902181795 | Amanda Rose Davis | Pharmacist | 2500 Koke Mill Rd, Springfield, IL 62711 | 2011-10-12 |
| 1316233703 | Karen Zerkle | Dentist | 2809 Mansion Rd, Suite D, Springfield, IL 62711 | 2011-06-23 |
| 1255520557 | Link Chiropractic LLC | Chiropractor | 7012 Kingsmill Ct, Springfield, IL 62711 | 2007-10-23 |
| 1669688230 | Victoria Lynn Driskill | Dentist | 4701 W. Wabash Ave, Springfield, IL 62711 | 2007-05-14 |
| Find all providers in zip 62711 | ||||
| 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 |
|---|---|---|---|---|
| 1013409887 | Springfield Pediatric Dentistry | Dentist | 3130 Tom Austin Hwy Ste B, Springfield, TN 37172 | 2018-06-06 |
| 1770999658 | Shehzad Muhammad Sajid | Dentist | 7200 Jillspring Ct, Springfield, VA 22152 | 2014-07-11 |
| 1265858021 | John Han D.d.s., P.C. | Dentist | 6120 Brandon Ave Ste 114, Springfield, VA 22150-2504 | 2014-03-17 |
| 1174804280 | Nahee Williams Mcdonald Dds PC | Dentist | 7841f Rolling Rd, Springfield, VA 22153-2821 | 2011-09-01 |
| 1619177854 | Nahee Williams Mcdonald | Dentist | 7841 Rolling Road, Suite F, Springfield, VA 22153 | 2007-07-24 |
| 1346457983 | Scott H Leaf | Dentist | 7841 Rolling Rd # F, Springfield, VA 22153-2821 | 2007-05-16 |
| 1225243173 | Anne Tran Nghiem | Dentist | 200 Birnie Ave, No Tooth Left Behind Dental Clinic, Springfield, MA 01107-1102 | 2007-05-14 |
| 1568533727 | Springfield Smiles Youth Dentistry, LLC | Dentist | 376 Cooley St, Springfield, MA 01128-1144 | 2006-11-10 |
| 1427139872 | Joseph Michael Pruitt | Dentist | 1324 E Montclair St, Springfield, MO 65804-4245 | 2006-10-18 |
| 1417047838 | Robert Merle Willard | Dentist | 2536 Farragut Dr, Springfield, IL 62704-1433 | 2006-10-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62711 |
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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.