Individual provider Active NPI

Vedat Serhan Suvag, DDS

  • Dentist
  • Springfield, OH
National Provider Identifier
1396982906
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30022935 Issued in OH
Practice address
1270 Upper Valley Pike
Springfield, OH 45504-4020
Phone
(937) 525-0500
Fax
(937) 525-0502
NPI assigned
Jan 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30022935 OH Primary

Addresses

Primary practice location

1270 Upper Valley Pike
Springfield, OH 45504-4020

Mailing address

1270 Upper Valley Pike
Springfield, OH 45504-4020
Phone (937) 525-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150305001292 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8224354493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30022935OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Dental Partners, LLP Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1396982906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 UPPER VALLEY PIKE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044020",
            "telephone_number": "937-525-0500",
            "fax_number": "937-525-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 UPPER VALLEY PIKE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044020",
            "telephone_number": "937-525-0500",
            "fax_number": "937-525-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUVAG",
        "first_name": "VEDAT",
        "middle_name": "SERHAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30022935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.