Organization Active NPI

Suliman Orthodontics Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Stockton, CA
National Provider Identifier
1457842957
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
56348 Issued in CA
Legal business name
SULIMAN ORTHODONTICS INC.
Practice address
4534 Precissi LN Ste C
Stockton, CA 95207-6213
Phone
(209) 478-5168
Fax
(209) 478-2313
NPI assigned
May 21, 2018
Last updated
May 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Authorized official

Name
Dr. Sam Suliman, DDSNPI 1144418575
Title
Ceo/Dentist-Orthodontist
Phone
(209) 478-5168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 56348 CA Primary

Addresses

Primary practice location

4534 Precissi LN Ste C
Stockton, CA 95207-6213

Mailing address

4534 Precissi LN Ste C
Stockton, CA 95207-6213
Phone (209) 478-5168

National Provider Directory

National Provider Directory

Locations

4534 Precissi Ln
Ste C
Stockton, CA 95207
Phone (209) 478-5168

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1457842957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4534 PRECISSI LN STE C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076213",
            "telephone_number": "209-478-5168",
            "fax_number": "209-478-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4534 PRECISSI LN STE C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076213",
            "telephone_number": "209-478-5168",
            "fax_number": "209-478-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULIMAN ORTHODONTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "SULIMAN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CEO/DENTIST-ORTHODONTIST",
        "authorized_official_telephone_number": "209-478-5168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "56348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.