Individual provider Active NPI

Suzanne Nicole Verma, MAMS, CCA

  • Anaplastologist
  • Plano, TX
National Provider Identifier
1356533939
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AnaplastologistTaxonomy code 229N00000X
Practice address
7965 Custer Rd Ste 114
Plano, TX 75025-3155
Phone
(972) 696-9497
Fax
(469) 409-6142
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anaplastologist 229N00000X Primary

Addresses

Primary practice location

7965 Custer Rd Ste 114
Plano, TX 75025-3155

Mailing address

PO Box 261684
Plano, TX 75026-1684
Phone (214) 564-4886

Other practice location 1

504 Bailey Ave
Ft Worth, TX 76107-2126
Phone (972) 696-9497

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Prosthetic Restorations Anaplastologist CurrentSince Feb 13, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1356533939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261684",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750261684",
            "telephone_number": "214-564-4886",
            "fax_number": "469-409-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7965 CUSTER RD STE 114",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750253155",
            "telephone_number": "972-696-9497",
            "fax_number": "469-409-6142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Bailey Ave",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761072126",
            "country_code": "US",
            "telephone_number": "972-696-9497",
            "fax_number": "469-409-6142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMA",
        "first_name": "SUZANNE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MAMS, CCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "229N00000X",
            "taxonomy_group": "",
            "desc": "Anaplastologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.