Marcus Sur, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401414439 Issued in VA

Practice address

481 Garrisonville Rd Ste 105
Stafford, VA 22554-1601

Phone

(540) 659-4900

NPI assigned

May 1, 2013

Sex

Male

Sole proprietor

No

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

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Garrisonville Dental LLC

  • Dental Clinic/Center
  • Stafford, VA
  • NPI 1811183734
  NPD (past)
• Lefcoe,Weinstein,Sachs,Schiff

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1265592794
  NPD (past)

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1194160374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MEADOW VIEW BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353495",
            "telephone_number": "757-673-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 GARRISONVILLE RD STE 105",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541601",
            "telephone_number": "540-659-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUR",
        "first_name": "MARCUS",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Sukert
• Michael Ashby Sullivan
• Summit Healthcare Services LLC
• Summit Home Healthcare LLC
• Supportive Care Agency
• Layla Symons
• Carrie Ingalls Szlyk, MPH, MS-CCC-SLP
• T Green Counseling Associates LLC
• Tailor-Made Health Solutions, LLC
• Kierstyn Talley

• General Practice Dentistry in Stafford, VA
• Providers in Stafford, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.