Active NPI
Suzanne Kay Saville, DDS.
- Dentist
- Guerneville, CA
National Provider Identifier
1255365532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6085
- Practice address
- 16312 3Rd Street
Guerneville, CA 95446 - Phone
- (707) 869-2933
- Fax
- (707) 869-2663
- NPI assigned
- Jul 10, 2006
- Last updated
- Sep 16, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6085 | KS | Primary |
| Dentist | 122300000X | 63282 | CA | |
| Public Health Dentistry | 1223D0001X | 6085 | KS |
Addresses
Primary practice location
16312 3Rd Street
Guerneville, CA 95446
Mailing address
PO Box 226
Guerneville, CA 95446
Phone (707) 869-2933
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 |
|---|---|---|---|
| 6085 | KS | MD | Public Health Dentist |
Interoperability endpoints
- suzanne.saville@wchealth.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1255365532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 226",
"city": "GUERNEVILLE",
"state": "CA",
"postal_code": "95446",
"telephone_number": "707-869-2933",
"fax_number": "707-869-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16312 3RD STREET",
"city": "GUERNEVILLE",
"state": "CA",
"postal_code": "95446",
"telephone_number": "707-869-2933",
"fax_number": "707-869-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVILLE",
"first_name": "SUZANNE",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "DDS.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "6085",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63282",
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "KS",
"license": "6085",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guerneville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.