Individual provider Active NPI

Katherine Thinh Suezaki, D.M.D.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1144520966
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51899 Issued in CA
Practice address
1087 Meridian Ave
Suite 30
San Jose, CA 95125-4358
Phone
(408) 506-9600
NPI assigned
Oct 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 51899 CA Primary

Addresses

Primary practice location

1087 Meridian Ave
Suite 30
San Jose, CA 95125-4358

Mailing address

320 Spence Ave
Milpitas, CA 95035-4826
Phone (408) 506-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1144520966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SPENCE AVE",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354826",
            "telephone_number": "408-506-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 MERIDIAN AVE",
            "address_2": "SUITE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951254358",
            "telephone_number": "408-506-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUEZAKI",
        "first_name": "KATHERINE",
        "middle_name": "THINH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.