Individual provider Active NPI

Suzanne Marie Okuly, D.D.S.

  • Dentist
  • San Antonio, TX
National Provider Identifier
1255448999
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15652 Issued in TX
Practice address
8410 Datapoint Dr
South Texas Veterans Health Care System Audie L. Murphy
San Antonio, TX 78229-3220
Phone
(210) 949-8900
Fax
(210) 949-8904
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15652 TX Primary

Addresses

Primary practice location

8410 Datapoint Dr
South Texas Veterans Health Care System Audie L. Murphy
San Antonio, TX 78229-3220

Mailing address

23 Ancient BND
San Antonio, TX 78248-1640
Phone (210) 317-7058

Other names 1

  • Dr. Suzanne Marie Neil Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1255448999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ANCIENT BND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481640",
            "telephone_number": "210-317-7058",
            "fax_number": "210-949-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 DATAPOINT DR",
            "address_2": "SOUTH TEXAS VETERANS HEALTH CARE SYSTEM AUDIE L. MURPHY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293220",
            "telephone_number": "210-949-8900",
            "fax_number": "210-949-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKULY",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "15652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "NEIL",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.