Megan Su, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60949849 Issued in WA

Practice address

703 34TH Ave
Seattle, WA 98122-5131

Phone

(206) 251-7638

NPI assigned

Apr 24, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Megan Su, DMD, PLLC.

  • Dental Clinic/Center
  • Seattle, WA
  • NPI 1336924786
  NPD Authorized official
• Stephen J. Stuehling, D.M.D., PLLC

  dba Lakeview Kids' Dentistry

  • Pediatric Dentistry
  • Seattle, WA
  • NPI 1477787141
  NPD (past)

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1336674753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 34TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 34TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225131",
            "telephone_number": "206-251-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "MEGAN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60949849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan C Su, DDS
• Jungsheng Su
• Kevin Su, PHARMD
• Kevin N Su, MD
• Kimmy Su, M.D., PH.D.
• Xinyi Liu Su
• Yang Su
• Yiwen Su, L.AC
• Zinnia Su, LMT, CCST
• Alejandra Suarez, PH.D.

• Pediatric Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.