Suzanne Ross

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

IL60582239 Issued in WA

Practice address

310 Martin St
Blaine, WA 98230-4108

Phone

(360) 332-9534

NPI assigned

Dec 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blaine & Birch Bay Family Dentistry

  • Dental Clinic/Center
  • Blaine, WA
  • NPI 1245025592
  NPD (past)

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1417492877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MARTIN ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304108",
            "telephone_number": "360-332-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MARTIN ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304108",
            "telephone_number": "360-332-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "IL60582239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Judson Remy, OTR/L
• Amber Nicole Rice, LMT
• Shannan Francyne Ritter Von Trautmann, OTR
• James Joseph Roche, PHD
• Patrick James Rooney, D.D.S.
• Gagandeep Sandhu, DDS
• Ali Sanei Moghaddam, MD, ABFM, CCFP, MRCS
• Elizabeth M Schnippel, ND
• Carolynn M. Slocum, B.S., ICCE
• Sandra Yvette Smith

• Dental Hygienist in Blaine, WA
• Providers in Blaine, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.