Organization Active NPI

Dr. Suess Family Dental PC

  • Dental Clinic/Center
  • Clackamas, OR
National Provider Identifier
1134575004
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D9491 Issued in OR
Legal business name
DR. SUESS FAMILY DENTAL PC
Practice address
10001 SE Sunnyside Rd
Ste 250
Clackamas, OR 97015-5746
Phone
(503) 786-3000
Fax
(503) 786-3501
NPI assigned
May 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Dr. Jeremy C Suess, DDS
Title
President
Phone
(503) 786-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D9491 OR Primary

Addresses

Primary practice location

10001 SE Sunnyside Rd
Ste 250
Clackamas, OR 97015-5746

Mailing address

10001 SE Sunnyside Rd
Ste 250
Clackamas, OR 97015-5746
Phone (503) 786-3000

Other names 1

  • Clackamas Smiles Family Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1134575004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 SE SUNNYSIDE RD",
            "address_2": "STE 250",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155746",
            "telephone_number": "503-786-3000",
            "fax_number": "503-786-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 SE SUNNYSIDE RD",
            "address_2": "STE 250",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155746",
            "telephone_number": "503-786-3000",
            "fax_number": "503-786-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUESS FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "SUESS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-786-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D9491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clackamas Smiles Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.