Organization Active NPI

Vsmiledental Vaishali Suchak LLC

  • General Practice Dentistry
  • Bristol, PA
National Provider Identifier
1457622136
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS036678 Issued in PA
Legal business name
VSMILEDENTAL VAISHALI SUCHAK LLC
Practice address
603 Veterans Hwy
Bristol, PA 19007-2504
Phone
(215) 788-4200
NPI assigned
Jan 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Kaushik Suchak
Title
Manager
Phone
(917) 344-0170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS036678 PA Primary

Addresses

Primary practice location

603 Veterans Hwy
Bristol, PA 19007-2504

Mailing address

603 Veterans Hwy
Bristol, PA 19007-2504
Phone (215) 788-4200

National Provider Directory

National Provider Directory

Locations

603 Veterans Hwy
Bristol, PA 19007
Phone (215) 788-4200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1457622136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 VETERANS HWY",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072504",
            "telephone_number": "215-788-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 VETERANS HWY",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072504",
            "telephone_number": "215-788-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VSMILEDENTAL VAISHALI SUCHAK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "SUCHAK",
        "authorized_official_first_name": "KAUSHIK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-344-0170"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.