Peter Sukman Suh, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

CA 42425 Issued in CA

Practice address

1346 Foothill Blvd
Suite 305
La Canada Flintridge, CA 91011

Phone

(818) 790-5959

Fax

(818) 790-6399

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Hospital Los Angeles Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1265530653
  Medicare reassignment NPD
• Childrens Hospital of Los Angeles

  • Children's Hospital
  • Los Angeles, CA
  • NPI 1124073366
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124234752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 FOOTHILL BLVD",
            "address_2": "SUITE 305",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "91011",
            "telephone_number": "818-790-5959",
            "fax_number": "818-790-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 FOOTHILL BLVD",
            "address_2": "SUITE 305",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "91011",
            "telephone_number": "818-790-5959",
            "fax_number": "818-790-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "PETER",
        "middle_name": "SUKMAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "CA 42425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Gregory Skinner
• Erica Smith, PHD, LMFT
• Spine Solution Chung Chiropractic Inc.
• Michael J. Stremfel
• Keith Shigeru Suehiro, PHARMD
• Alexis Suk
• Avetis Tashyan, PHARM.D.
• Tenera Home Health Care, Inc.
• Thrifty Payless Inc
• Touching Hearts Boarding Care

• Pediatric Dentistry in La Canada Flintridge, CA
• Providers in La Canada Flintridge, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.