Joowon Suh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18213 Issued in MI

Practice address

806 N Washington Ave
Lansing, MI 48906-5134

Phone

(517) 485-4713

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Joowon Suh Professional name

Medicare fee-for-service enrollment

Enrolled in MI

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 and National Provider Directory roles.

• Rodem Tree Family Dentistry

  • Dentist
  • Lansing, MI
  • NPI 1669870333
  NPD (past) Authorized official
• Thomas R. Flint D.D.S.P.C.

  • General Practice Dentistry
  • Lansing, MI
  • NPI 1760647606
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239235200000",
    "number": "1306946645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13125 SPECKLEDWOOD DRIVE",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "48820",
            "telephone_number": "313-575-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N WASHINGTON AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489065134",
            "telephone_number": "517-485-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "JOOWON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "18213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4332330",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOOWON",
            "last_name": "SUH",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Judith Anne Suess, MD
• Saeed Basheer Sufyan, PA
• H Arthur Sugarman, R.PH.
• Krysten Sugden, LMSW
• Susan Kay Sugden, NP
• Kacy Ann Sulavik, PT, DPT
• Duaa Suliman, MD
• John Christopher Sullivan, LPC
• Lauren Sullivan, CSW
• Shawn Marie Sullivan, ARNP

• General Practice Dentistry in Lansing, MI
• Providers in Lansing, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.