Active NPI
Suzanne Bird PLLC
- General Practice Dentistry
- Charlotte, NC
National Provider Identifier
1093597551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- Pediatric Dentistry
- Charlotte, NC
- NPI 1104884774
-
- Pediatric Dentistry
- Charlotte, NC
- NPI 1700266236
-
- General Practice Dentistry
- Charlotte, NC
- NPI 1568730455
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.