Active NPI
Heeyeon Suh
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Francisco, CA
National Provider Identifier
1306716170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 108696
- Practice address
- 155 5TH St
San Francisco, CA 94103-2919 - Phone
- (415) 929-6501
- NPI assigned
- Nov 7, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 108696 | CA | Primary |
Addresses
Primary practice location
155 5TH St
San Francisco, CA 94103-2919
Mailing address
731 44TH Ave
San Francisco, CA 94121-3305
Phone (443) 488-4007
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 |
|---|---|---|---|
| 108696 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1306716170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 44TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941213305",
"telephone_number": "443-488-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 5TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032919",
"telephone_number": "415-929-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUH",
"first_name": "HEEYEON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-07",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "108696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.