Katrina W Suckling, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19736 Issued in OH

Practice address

180 1St St NW
Suite 2
Barberton, OH 44203-8204

Phone

(330) 745-0502

Fax

(330) 745-6020

NPI assigned

Mar 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Katrina Suckling DDS LLC

  • Dental Clinic/Center
  • Norton, OH
  • NPI 1417601501
  Authorized official Same address or phone

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467583039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 1ST ST NW",
            "address_2": "SUITE 2",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442038204",
            "telephone_number": "330-745-0502",
            "fax_number": "330-745-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 1ST ST NW",
            "address_2": "SUITE 2",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442038204",
            "telephone_number": "330-745-0502",
            "fax_number": "330-745-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCKLING",
        "first_name": "KATRINA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Gerard Stewart
• Hannah Stewart
• Sherry Stout
• Mindy Leigh Strawser, M.D.
• Ann Suboticki, RN, LMT
• Vincent Louis Sudimak, M.D.
• Summa Barberton
• Summa Barberton Citizens Hospital
• Summa Barberton Citizens Hospital
• Summa Barberton Citizens Hospital (Physicians Medi-Billing)

• General Practice Dentistry in Barberton, OH
• Providers in Barberton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.