NPIMap

Organization Active NPI

Suzanne Haeri DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1124409503
Registry record updated Jun 11, 2015
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45369 Issued in CA
Legal business name
SUZANNE HAERI DDS
Practice address
1100 S la Cienega Blvd
Los Angeles, CA 90035-2519
Phone
(310) 657-2200
Fax
(310) 854-0600
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Suzanne Haeri, DDS
Title
President
Phone
(310) 770-2375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 45369 CA Primary

Addresses

Primary practice location

1100 S la Cienega Blvd
Los Angeles, CA 90035-2519

Mailing address

1100 S la Cienega Blvd
Los Angeles, CA 90035-2519
Phone (310) 657-2200

National Provider Directory

National Provider Directory

Locations

1100 S La Cienega Blvd
Los Angeles, CA 90035
Phone (310) 657-2200

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1124409503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S LA CIENEGA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352519",
            "telephone_number": "310-657-2200",
            "fax_number": "310-854-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S LA CIENEGA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352519",
            "telephone_number": "310-657-2200",
            "fax_number": "310-854-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE HAERI DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "HAERI",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-770-2375",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.