NPIMap

Organization Active NPI

Lup Chung Suen, D.M.D., Inc.

  • General Practice Dentistry
  • Yuba City, CA
National Provider Identifier
1093936718
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39505 Issued in CA
Legal business name
LUP CHUNG SUEN, D.M.D., INC.
Practice address
1215 Plumas St
Suite # 52
Yuba City, CA 95991-3455
Phone
(530) 755-9968
Fax
(530) 755-4557
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Ms. Lucy L. Suen
Title
Secretary
Phone
(530) 755-9968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39505 CA Primary

Addresses

Primary practice location

1215 Plumas St
Suite # 52
Yuba City, CA 95991-3455

Mailing address

1215 Plumas St
Suite # 52
Yuba City, CA 95991-3455
Phone (530) 755-9968

National Provider Directory

National Provider Directory

Locations

1215 Plumas St
Ste 52
Yuba City, CA 95991
Phone (530) 671-1244

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1093936718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLUMAS ST",
            "address_2": "SUITE # 52",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913455",
            "telephone_number": "530-755-9968",
            "fax_number": "530-755-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLUMAS ST",
            "address_2": "SUITE # 52",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913455",
            "telephone_number": "530-755-9968",
            "fax_number": "530-755-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUP CHUNG SUEN, D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "SUEN",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "530-755-9968",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.