Susanville Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25151 Issued in CA

Legal business name

SUSANVILLE DENTAL CARE

Practice address

720 Ash St
Susanville, CA 96130-3716

Phone

(530) 257-7256

Fax

(530) 257-3546

NPI assigned

Mar 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Weger Hodge, DDSNPI 1134332299

Title

Co-Owner

Phone

(530) 257-7256

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• James Weger Hodge, D.D.S.

  • General Practice Dentistry
  • Susanville, CA
  • NPI 1134332299
  NPD (past) Authorized official
• Heather Morgan Perry, DDS

  • General Practice Dentistry
  • Susanville, CA
  • NPI 1760141345
  NPD (past)
• Adam Leslie Smith, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1376774133
  NPD (past)

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093832834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ASH ST",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303716",
            "telephone_number": "530-257-7256",
            "fax_number": "530-257-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ASH ST",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303716",
            "telephone_number": "530-257-7256",
            "fax_number": "530-257-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANVILLE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WEGER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "530-257-7256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryjo Streible
• Dennis Dale Struve, DDS
• Rachelle Marie Surian, RN, BSN
• Toni Surian
• Susanville Chiropractic Clinic
• Susanville Family Pharmacy Inc
• Susanville Hospital Company LLC (Lassen Regional Medical Center)
• Susanville Hospital Company LLC (Lassen Regional Medical Center)
• Susanville Indian Rancheria (Lassen Indian Health Center)
• Susanville Limited Partnership (Eagle Lake Village)

• General Practice Dentistry in Susanville, CA
• Providers in Susanville, 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 Aug 22, 2020; 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.