Individual provider Active NPI

Ricardo Andres Suarez, D.D.S.

  • General Practice Dentistry
  • West Covina, CA
National Provider Identifier
1003034059
Registry record updated Sep 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47567 Issued in CA
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

Updated by the provider on Sep 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Ricardo a. Suarez, D.D.S., Inc. Past Accepting new patients
Setian & Suarez Dental Group, Inc PastSince Sep 15, 2019 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.

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.

Verify at the official NPI Registry.