Organization Active NPI

Yusuke Suzuki D M D Inc

  • General Practice Dentistry
  • Lodi, CA
National Provider Identifier
1265201271
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
YUSUKE SUZUKI D M D INC
Practice address
801 S Ham LN Ste L
Lodi, CA 95242-7502
Phone
(209) 334-0630
NPI assigned
Jan 2, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Yusuke Suzuki, DMDNPI 1689833865
Title
Ceo
Phone
(209) 625-5728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

801 S Ham Ln
Ste L
Lodi, CA 95242
Phone (209) 334-0630

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

NPPES NPI Registry

Primary practice location

801 S Ham LN Ste L
Lodi, CA 95242-7502

Mailing address

801 S Ham LN Ste L
Lodi, CA 95242-7502
Phone (209) 334-0630

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 2, 2024.

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1265201271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S HAM LN STE L",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952427502",
            "telephone_number": "209-334-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S HAM LN STE L",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952427502",
            "telephone_number": "209-334-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUSUKE SUZUKI D M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "SUZUKI",
        "authorized_official_first_name": "YUSUKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-625-5728",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.