John M Sushko DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1810857 Issued in MI

Legal business name

JOHN M SUSHKO DDS PC

Practice address

720 N Old Woodward Ave
Suite 201
Birmingham, MI 48009-1342

Phone

(248) 644-5735

Fax

(248) 644-6465

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Michael Sushko, DDSNPI 1194951699

Title

Executive Director

Phone

(248) 644-5735

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John M Sushko, DDS

  • General Practice Dentistry
  • Birmingham, MI
  • NPI 1194951699
  NPD (past) Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366597148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N OLD WOODWARD AVE",
            "address_2": "SUITE 201",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091342",
            "telephone_number": "248-644-5735",
            "fax_number": "248-644-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N OLD WOODWARD AVE",
            "address_2": "SUITE 201",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091342",
            "telephone_number": "248-644-5735",
            "fax_number": "248-644-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M SUSHKO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUSHKO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-644-5735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "1810857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marieta Jamsek Rolnick, M.D.
• Maria Jancevski, M.D.
• Jessica Sherman Counseling
• Jfit, LLC
• JGPT LLC
• Jolyn Welsh Wagner MD PC
• Patricia Jane Jones, RPH, BCPP
• Joseph a Beals MD, PC
• Grace Abrilgail Jovanovich, TLLP
• Daniel J Judge, D.C.

• Dental Clinic/Center in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.