DR. SUSAN SCHAUMBURG RESTIC DMD
NPI 1871510552
Dentist - General Practice in Clackamas, OR

Q: What is Susan Restic's NPI number?

The NPI number for Susan Restic is 1871510552. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as Dr. Susan Annette Schaumburg Dmd.

Q: What is Susan Restic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Susan Restic was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2006PECOS Enrolled

10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 353-3900 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Dr. Susan Schaumburg Restic Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN SCHAUMBURG RESTIC DMD (NPI 1871510552) is an individual general practice provider in Clackamas, Oregon, licensed in Oregon (D6729) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871510552

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SUSAN SCHAUMBURG RESTICCredential: DMD

Location Address10209 SE SUNNYSIDE RDClackamas, OR 97015-9782

Mailing Address4350 Lakeview BlvdLake Oswego, OR 97035-5555 · (503) 675-1398

Phone(503) 353-3900

Sole ProprietorNo

Enumeration DateJuly 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1871510552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D6729

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

10209 SE SUNNYSIDE RD, Clackamas, OR 97015

Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Susan Annette Schaumburg Dmd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Schaumburg Restic Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAISER PERMAMANTE

Dental Assistant