Suzanne P. Triemstra, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

BP4553776 Issued in MI

Practice address

2525 S Cleveland Ave
Saint Joseph, MI 49085-2649

Phone

(269) 429-1587

Fax

(269) 429-1519

NPI assigned

Apr 16, 2008

Last updated

Aug 25, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1346414885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLDE WATERFORD WAY STE 300",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514171",
            "telephone_number": "910-383-0100",
            "fax_number": "910-383-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S CLEVELAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852649",
            "telephone_number": "269-429-1587",
            "fax_number": "269-429-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIEMSTRA",
        "first_name": "SUZANNE",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6493",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "BP4553776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Palmer, MD, PLLC
• Azra Marie Totobesola
• Keralyn Totten, OD
• Angelica Marie Tracy, RPH
• Amanda Trail, PT, DPT, CLT
• Katherine Trierweiler, MSOT
• Christopher Trigger, M.D.
• Ekta Trivedi
• Tisha Ann Troyer
• Sara Trumbley

• General Practice Dentistry in Saint Joseph, MI
• Providers in Saint Joseph, 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 Aug 25, 2010; 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.