Individual provider Active NPI

Sukan Nip, D.D.S

  • General Practice Dentistry
  • Northampton, MA
National Provider Identifier
1205908258
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21237 Issued in MA
Practice address
243 King St
Suite 112
Northampton, MA 01060-2451
Phone
(413) 584-5199
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 21237 MA Primary

Addresses

Primary practice location

243 King St
Suite 112
Northampton, MA 01060-2451

Mailing address

243 King St
Suite 112
Northampton, MA 01060-2451
Phone (413) 584-5199

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

LicenseStateTypeSpecialty
21237MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James E. Clayton, Jr., D.M.D., P.C. General Practice Past Accepting new patients
Northampton Dental Specialists Group PC General Practice PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205908258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 KING ST",
            "address_2": "SUITE 112",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602451",
            "telephone_number": "413-584-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 KING ST",
            "address_2": "SUITE 112",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602451",
            "telephone_number": "413-584-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIP",
        "first_name": "SUKAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.