Active NPI
Ricardo Andres Suarez, D.D.S.
- General Practice Dentistry
- West Covina, CA
National Provider Identifier
1003034059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47567
- Practice address
- 100 S Vincent Ave
Suite 404
West Covina, CA 91790-2902 - Phone
- (626) 919-4337
- Fax
- (626) 919-2300
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47567 | CA | Primary |
Addresses
Primary practice location
100 S Vincent Ave
Suite 404
West Covina, CA 91790-2902
Mailing address
15732 Mar Vista St
Whittier, CA 90605-1325
Phone (626) 919-4337
Other practice location 1
6542 Bright Ave
Whittier, CA 90601-4503
Phone (562) 693-9263
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ricardo a. Suarez, D.D.S., Inc. | Past | Accepting new patients | |
| Setian & Suarez Dental Group, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- West Covina, CA
- NPI 1275747255
-
- Dental Clinic/Center
- Whittier, CA
- NPI 1245889724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567900800000",
"number": "1003034059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15732 MAR VISTA ST",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906051325",
"telephone_number": "626-919-4337",
"fax_number": "626-919-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S VINCENT AVE",
"address_2": "SUITE 404",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902902",
"telephone_number": "626-919-4337",
"fax_number": "626-919-2300"
}
],
"practiceLocations": [
{
"address_1": "6542 Bright Ave",
"address_purpose": "LOCATION",
"city": "Whittier",
"state": "CA",
"postal_code": "906014503",
"country_code": "US",
"telephone_number": "562-693-9263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUAREZ",
"first_name": "RICARDO",
"middle_name": "ANDRES",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2019-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "47567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.