Active NPI
Suzanne Siu, D.M.D
- General Practice Dentistry
- Lawrence, MA
National Provider Identifier
1477922821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1856850
- Practice address
- 700 Essex St
Lawrence, MA 01840 - Phone
- (978) 683-2200
- NPI assigned
- Sep 16, 2015
- Last updated
- Sep 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1856850 | MA | Primary |
Addresses
Primary practice location
700 Essex St
Lawrence, MA 01840
Mailing address
350 N. Clark Street
6TH Floor
Chicago, IL 60654
Phone (312) 274-4520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1856850 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1477922821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N. CLARK STREET",
"address_2": "6TH FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60654",
"telephone_number": "312-274-4520",
"fax_number": "312-803-1869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ESSEX ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "01840",
"telephone_number": "978-683-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIU",
"first_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-16",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1856850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.