Individual provider Active NPI

James Andrew Sugg, D.D.S.

  • General Practice Dentistry
  • Hickory, NC
National Provider Identifier
1194070912
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9358 Issued in NC
Practice address
518 4TH St SW
Hickory, NC 28602-2823
Phone
(910) 995-3909
NPI assigned
Jul 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9358 NC Primary
Dentist 122300000X 20975 FL

Addresses

Primary practice location

518 4TH St SW
Hickory, NC 28602-2823

Mailing address

17810 Half Moon LN
Apt H
Cornelius, NC 28031-4606
Phone (910) 995-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160812001294 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0244524254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20975FLMDDentist
9358NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1194070912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17810 HALF MOON LN",
            "address_2": "APT H",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314606",
            "telephone_number": "910-995-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 4TH ST SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286022823",
            "telephone_number": "910-995-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGG",
        "first_name": "JAMES",
        "middle_name": "ANDREW",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9358",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "20975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.