Active NPI
Judson Lee Suber, D.M.D.
- Dentist
- Easley, SC
National Provider Identifier
1295985042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4494
- Practice address
- 105 Sheringham Dr
Easley, SC 29642-2615 - Phone
- (864) 269-5290
- Fax
- (864) 220-0409
- NPI assigned
- Sep 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4494 | SC | Primary |
Addresses
Primary practice location
105 Sheringham Dr
Easley, SC 29642-2615
Mailing address
PO Box 1489
Easley, SC 29641-1489
Phone (864) 296-5290
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 |
|---|---|---|---|
| 4494 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinehurst Partners LLC | Current | Accepting new patients | |
| Pasui Family Dentistry | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Greenville, SC
- NPI 1881301158
-
- General Practice Dentistry
- Easley, SC
- NPI 1992722599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1295985042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1489",
"city": "EASLEY",
"state": "SC",
"postal_code": "296411489",
"telephone_number": "864-296-5290",
"fax_number": "864-220-0409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SHERINGHAM DR",
"city": "EASLEY",
"state": "SC",
"postal_code": "296422615",
"telephone_number": "864-269-5290",
"fax_number": "864-220-0409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBER",
"first_name": "JUDSON",
"middle_name": "LEE",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-29",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "4494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.