Ajay Suri, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3513 / 109 Issued in AR

Practice address

36 Rahling Cir
Little Rock, AR 72223-9191

Phone

(501) 821-5859

Fax

(501) 588-3455

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Ajay Suri DDS Ms PA

  dba Suri Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Little Rock, AR
  • NPI 1083815351
  NPD Authorized official

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1437185766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241534",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230010",
            "telephone_number": "501-821-5859",
            "fax_number": "501-588-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 RAHLING CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239191",
            "telephone_number": "501-821-5859",
            "fax_number": "501-588-3455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Hospital Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Morrilton",
            "state": "AR",
            "postal_code": "721104527",
            "country_code": "US",
            "telephone_number": "501-354-3508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Main St Ste L",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719134964",
            "country_code": "US",
            "telephone_number": "501-321-0222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5489 Summerhill Rd",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755034608",
            "country_code": "US",
            "telephone_number": "903-280-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURI",
        "first_name": "AJAY",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "3513 / 109",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "20901",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "LA",
            "license": "7493",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164867608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Supportive Medicine PLLC
• Hudson Surber, MD, MPH
• Vishnu Charan Suresh Kumar, M.D
• Surgical Associates of Arkansas
• Surgical Clinic, PA (Surgical Clinic of Central Arkansas)
• Susan L Bryant PHD Behavioral Health Services
• Dianna Sutliff, MSN, APRN, FNP-C
• Ian Sutphin
• Alicia Sutterfield, PHARM.D.
• Elise McKinna Sutton, PHARM D

• Orthodontics and Dentofacial Orthopedics Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.