Erin Hong Shusko, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106236 Issued in CA

Practice address

8350 E Raintree Dr Ste 115
Scottsdale, AZ 85260-2691

Phone

(480) 609-0050

NPI assigned

Jan 2, 2019

Last updated

Aug 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Erin Hong Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

State licenses

Practice roles

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

• Lee Professional Dental Corp

  • Prosthodontics
  • Los Angeles, CA
  • NPI 1033635156
  NPD (past)

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1285107235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9612 LUCERNE AVE APT 101",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322927",
            "telephone_number": "925-330-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 E RAINTREE DR STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602691",
            "telephone_number": "480-609-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSKO",
        "first_name": "ERIN",
        "middle_name": "HONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "060030-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "HONG",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maximilian James Shumake, DMD
• Douglas A Shuman, MD
• Anna Shuqom, MA, LPC
• Shurveer International, Inc (Advanced Health & Wellness Center)
• Alexander Raymond Shusko Jr.
• Sia Health Care LLC
• Elena Sibley, MD
• George L Sibley, MD
• Laura Judson Sibrava, DMD
• Jan Sickler, LPC

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.