Niki Suri, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15069 Issued in FL

Practice address

121 K D Revell Rd
Wauchula, FL 33873-2051

Phone

(866) 234-8534

NPI assigned

Dec 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: niki.gurminder.suri.1@12125.direct.athenahealth.com

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.

• Central Florida Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Winter Haven, FL
  • NPI 1467752998

  General Practice

  NPD (past)
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Bartow, FL
  • NPI 1407615826
  NPD (past)
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Avon Park, FL
  • NPI 1831232669

  General Practice

  NPD (past)
• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dundee, FL
  • NPI 1063408813
  NPD (past)
• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Avon Park, FL
  • NPI 1063409290

  General Practice

  NPD (past)
• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lakeland, FL
  • NPI 1386835064
  NPD (past)
• Central Florida Health Care, Inc.

  • Multi-Specialty Clinic/Center
  • Dundee, FL
  • NPI 1720247588
  NPD (past)
• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wauchula, FL
  • NPI 1790116911

  General Practice

  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1316129182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 5TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 K D REVELL RD",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338732051",
            "telephone_number": "866-234-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURI",
        "first_name": "NIKI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Parks Inc
• Spark Your Heart, LLC
• Josie Spencer
• St Amaro Opco LLC
• Lorena Stoddard, LMT
• Tampa Bay Emergency Physicians-Heartland LLC
• Gurkan F Taviloglu, M.D.
• TDN Dentistry, PLLC
• Franz Banta Timbol, MSN, FNP-C
• Clifton N Timmerman, O.D.

• General Practice Dentistry in Wauchula, FL
• Providers in Wauchula, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.