Suzin Um DDS, Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SUZIN UM DDS, INC

Doing business as

Lake Forest Oral Surgery

Practice address

26700 Towne Centre Dr Ste 280
Foothill Ranch, CA 92610-2844

Phone

(949) 203-3177

NPI assigned

Jun 6, 2019

Last updated

Jun 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Suzin Um, DDSNPI 1548558646

Title

Surgeon

Phone

(949) 203-3177

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lake Forest Oral Surgery Doing business as

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.

• Suzin Um, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Foothill Ranch, CA
  • NPI 1548558646
  NPD (past) Authorized official

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1386203016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26700 TOWNE CENTRE DR STE 280",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102844",
            "telephone_number": "949-203-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26700 TOWNE CENTRE DR STE 280",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102844",
            "telephone_number": "949-203-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZIN UM DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "UM",
        "authorized_official_first_name": "SUZIN",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "949-203-3177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL BOARD",
            "identifier": "64384",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Forest Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Foothill Ranch, CA
• Providers in Foothill Ranch, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.