Suzanne De Ball, D.D.S., PH.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D6681 Issued in AZ

Practice address

Seed Farm Street
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85247

Phone

(602) 528-1209

NPI assigned

Jul 8, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477586170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13643",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480045",
            "telephone_number": "602-327-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SEED FARM STREET",
            "address_2": "HU HU KAM MEMORIAL HOSPITAL",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "85247",
            "telephone_number": "602-528-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BALL",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D6681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E Crum, DDS
• Martha Cruz, CNM
• Jazmyn Dang
• Craig Darragh, LPC
• Taylor Davis, PT, DPT
• Maddalyn Deitchman, RD
• Joni Delaney, LPC
• Desert Visions Youth Wellness Center
• Chylae M Dexter, LMSW
• DHHS IHS Phoenix Area

• All providers in Sacaton, AZ
• Pediatric Dentistry in Arizona

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.