Suman Sra DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

65048 Issued in CA

Legal business name

SUMAN SRA DDS INC

Practice address

750 N Capitol Ave, Suite C-1,
San Jose, CA 95133

Phone

(408) 923-8500

Fax

(408) 923-0448

NPI assigned

Jan 11, 2018

Organization subpart

No

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

Authorized official

Name

Suman Sra

Title

President

Phone

(408) 923-8500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert James Trifilo, DDS

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1831190651
  NPD (past)

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1023526134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N CAPITOL AVE, SUITE C-1,",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95133",
            "telephone_number": "408-923-8500",
            "fax_number": "408-923-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N CAPITOL AVE, SUITE C-1,",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95133",
            "telephone_number": "408-923-8500",
            "fax_number": "408-923-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMAN SRA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "SRA",
        "authorized_official_first_name": "SUMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-923-8500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "65048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Lawrence Sullivan Jr., MD
• Susan Ann Sullivan, M.S.
• John Matthew Sum, MD
• Suman Ramakumar DDS Inc
• Suman Ramakumar DDS Inc
• Jaunell Amanda Sumler
• Guljinder Kaur Summan, RN
• Summer Acupuncture
• Leslie Summerfield, MA
• Camille Dawn Summers, M.A. BCBA

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.