Individual provider Active NPI

Monroe Deshawn Suber, CRDH

  • Dental Hygienist
  • Pensacola, FL
National Provider Identifier
1306717582
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH34411 Issued in FL
Practice address
1333 Fairchild St
Pensacola, FL 32504-6426
Phone
(870) 723-6838
NPI assigned
Sep 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH34411 FL Primary

Addresses

Primary practice location

1333 Fairchild St
Pensacola, FL 32504-6426

Mailing address

Uss Gerald R Ford (CVN 78)
Unit 100328
Fpo, AE 09523-2800
Phone (870) 723-6838

Other practice location 1

Uss Gerald R Ford (CVN 78)
Unit 100328
Fpo, AE 09523-2800
Phone (870) 723-6838

Other names 1

  • Monroe Deshawn Suber Professional 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

State licenses

LicenseStateTypeSpecialty
DH34411FLMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1306717582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "USS GERALD R FORD (CVN 78)",
            "address_2": "UNIT 100328",
            "city": "FPO",
            "state": "AE",
            "postal_code": "095232800",
            "telephone_number": "870-723-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 FAIRCHILD ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046426",
            "telephone_number": "870-723-6838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "USS GERALD R FORD (CVN 78)",
            "address_2": "UNIT 100328",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AE",
            "postal_code": "095232800",
            "country_code": "US",
            "telephone_number": "870-723-6838",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "SUBER",
        "first_name": "MONROE",
        "middle_name": "DESHAWN",
        "credential": "CRDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH34411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONROE",
            "last_name": "SUBER",
            "middle_name": "DESHAWN",
            "credential": "CRDH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.