Active NPI
Katharine Hammaker Suslik, DDS
- Pediatric Dentistry
- Arvada, CO
National Provider Identifier
1174059042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DEN.00203929
- Practice address
- 7975 Allison Way
Arvada, CO 80005 - Phone
- (303) 421-5437
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0401415705 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | DEN.00203929 | CO | Primary |
Addresses
Primary practice location
7975 Allison Way
Arvada, CO 80005
Mailing address
7975 Allison Way
Arvada, CO 80005-4428
Phone (757) 408-0249
Other practice location 1
1935 Medical District Dr
Dallas, TX 75235-7701
Phone (757) 408-0249
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00203929 | CO | MD | Pediatric Dentist |
| 0401415705 | VA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1174059042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7975 ALLISON WAY",
"city": "ARVADA",
"state": "CO",
"postal_code": "800054428",
"telephone_number": "757-408-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7975 ALLISON WAY",
"city": "ARVADA",
"state": "CO",
"postal_code": "80005",
"telephone_number": "303-421-5437"
}
],
"practiceLocations": [
{
"address_1": "1935 Medical District Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357701",
"country_code": "US",
"telephone_number": "757-408-0249",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUSLIK",
"first_name": "KATHARINE",
"middle_name": "HAMMAKER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401415705",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "CO",
"license": "DEN.00203929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.