Robert a. Sue D.D.S., Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

28096 Issued in CA

Legal business name

ROBERT A. SUE D.D.S., INC.

Practice address

Suite 570
435 Arden Avenue
Glendale, CA 91203-1103

Phone

(818) 243-3838

Fax

(818) 243-6168

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Alan Sue, D.D.S.NPI 1174739080

Title

Dentist/President

Phone

(818) 243-3838

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, and the practitioner matching its NPPES authorized official.

• Robert Alan Sue, DDS

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1174739080
  Authorized official Same address or phone

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1376551259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 570",
            "address_2": "435 ARDEN AVENUE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031103",
            "telephone_number": "818-243-3838",
            "fax_number": "818-243-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 570",
            "address_2": "435 ARDEN AVENUE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031103",
            "telephone_number": "818-243-3838",
            "fax_number": "818-243-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. SUE D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "SUE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "818-243-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "28096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Glendale, CA
• Providers in Glendale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.