Susanne Whalen DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45148 Issued in CA

Legal business name

SUSANNE WHALEN DMD INC

Practice address

1023 Washington St
Red Bluff, CA 96080-2746

Phone

(530) 527-2865

Fax

(530) 527-2408

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susanne Ursula Whalen, DMDNPI 1760481436

Title

President

Phone

(530) 527-2865

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Susanne Ursuala Whalen, DMD

  • General Practice Dentistry
  • Terre Haute, IN
  • NPI 1760481436
  NPD (past) Authorized official

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1467642389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 WASHINGTON ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802746",
            "telephone_number": "530-527-2865",
            "fax_number": "530-527-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 WASHINGTON ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802746",
            "telephone_number": "530-527-2865",
            "fax_number": "530-527-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANNE WHALEN DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_middle_name": "URSULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-527-2865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M Sundberg
• Megan Anna Sundblad
• Sunrise Sunset Healthcare LLC
• Sunrise Sunset Healthcare LLC
• Sunrise Sunset Healthcare LLC
• Deborah Ann Sutcliffe, M.D.
• Bernadette M Sutherland, LVN
• John F Swaim, DPM
• Lucas Jericho Swanson, RDH
• James Sylva

• General Practice Dentistry in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.