Loan Thi Su, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43252 Issued in CA

Practice address

5973 Encina Rd., Suite 108
Goleta, CA 93117

Phone

(805) 683-3801

Fax

(805) 683-3828

NPI assigned

Jul 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1174722607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5973 ENCINA RD., SUITE 108",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "93117",
            "telephone_number": "805-683-3801",
            "fax_number": "805-683-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5973 ENCINA RD., SUITE 108",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "93117",
            "telephone_number": "805-683-3801",
            "fax_number": "805-683-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "LOAN",
        "middle_name": "THI",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-14",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven G. Johnson Dental Corporation
• Grace Stirling, MA LMFT
• Roberta Mary Strangfeld
• James H Sturgeon III, D.D.S.
• John Leslie Sturges III
• Jamie Jisoo Sung
• Surgical Eye Expeditions
• Emily Marie Swindle, MA
• Robert Ray Swink, DC
• Ryan Swink, D.C.

• General Practice Dentistry in Goleta, CA
• Providers in Goleta, 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 Mar 1, 2018; 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.