Organization Active NPI

Suzanne Bird PLLC

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1093597551
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUZANNE BIRD PLLC
Practice address
16607 Riverstone Way Ste 300
Charlotte, NC 28277-5750
Phone
(704) 544-5000
Fax
(704) 544-5003
NPI assigned
Oct 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Jenny Garcia-Rocha
Title
Sr Credentialing Team Lead
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

16607 Riverstone Way Ste 300
Charlotte, NC 28277-5750

Mailing address

16607 Riverstone Way Ste 300
Charlotte, NC 28277-5750
Phone (704) 544-5000

Other practice location 1

16614 Riverstone Way
Charlotte, NC 28277-5746
Phone (704) 544-5001

National Provider Directory

National Provider Directory

Locations

16614 Riverstone Way
Charlotte, NC 28277
Phone (704) 544-5001

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1093597551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16607 RIVERSTONE WAY STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775750",
            "telephone_number": "704-544-5000",
            "fax_number": "704-544-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 RIVERSTONE WAY STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775750",
            "telephone_number": "704-544-5000",
            "fax_number": "704-544-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16614 Riverstone Way",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282775746",
            "country_code": "US",
            "telephone_number": "704-544-5001",
            "fax_number": "704-544-5002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUZANNE BIRD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "SR CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.