Sueyoung CHI, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010439 Issued in CT

Practice address

194 Buckland Hills Dr Ste 1076
Manchester, CT 06042-8785

Phone

(860) 644-0099

Fax

(860) 644-0109

NPI assigned

May 25, 2011

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BH Dental LLC

  • Dental Clinic/Center
  • Manchester, CT
  • NPI 1760905830
  NPD Authorized official
• Tolland Dental Associates LLC

  • General Practice Dentistry
  • Tolland, CT
  • NPI 1467110031
  NPD Authorized official
• SPH3 Enterprise LLC

  • Pediatric Dentistry
  • Manchester, CT
  • NPI 1154798247
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003109851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 BUCKLAND HILLS DR",
            "address_2": "SUITE 1076",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 BUCKLAND HILLS DR STE 1076",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428785",
            "telephone_number": "860-644-0099",
            "fax_number": "860-644-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061141386",
            "country_code": "US",
            "telephone_number": "860-571-3880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHI",
        "first_name": "SUEYOUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Chella, DC
• Alieja N Chen, PA-C
• Jackson Chen, DO
• Paige Alana Chen, BCBA, LBA
• Maria A Cheney, MFT
• Erin Chiaputti, LCSW
• Onyekatchi John Chidiadi
• Christine Greenwood Chidozie, OTR/L
• Krizia Chien, MD
• Chin Up Clinical Services LLC

• General Practice Dentistry in Manchester, CT
• Providers in Manchester, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.