Halton Suen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

B3153601 Issued in CA

Practice address

320 8TH St
Ste 2D
Oakland, CA 94607-4260

Phone

(510) 268-8888

Fax

(510) 268-8282

NPI assigned

Nov 7, 2005

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

Other identifiers 1

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

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1134100266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 8TH ST",
            "address_2": "STE 2D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074260",
            "telephone_number": "510-268-8888",
            "fax_number": "510-268-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 8TH ST",
            "address_2": "STE 2D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074260",
            "telephone_number": "510-268-8888",
            "fax_number": "510-268-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUEN",
        "first_name": "HALTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B3153601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B31536",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia Subudhi, MD
• Arlene R Suda, PT
• Nicole Sudduth, LCSW
• Christopher Michael Sue, M.D.
• Phoebe Suehiro
• Asuka Sugano
• Tessa Sugarbaker, M.D.
• Susan Sugarman, LCSW
• Evelyn Yen-Li Sugihto
• Jennifer Sugijanto, MD

• General Practice Dentistry in Oakland, CA
• Providers in Oakland, 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 Jan 28, 2009; 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.