Individual provider Active NPI

Takahiro Suzuki, D.D.S.

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1518338706
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31459 Issued in TX
Practice address
2120 Hedgcoxe Rd Ste 150
Plano, TX 75025-3145
Phone
(469) 814-8211
Fax
(469) 814-8028
NPI assigned
Oct 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31459 TX Primary

Addresses

Primary practice location

2120 Hedgcoxe Rd Ste 150
Plano, TX 75025-3145

Mailing address

2120 Hedgcoxe Rd Ste 150
Plano, TX 75025-3145
Phone (469) 814-8211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160531001996 TX Order and Referring Only - DentistPractitioner - Dentist 1052601267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Suzuki Oral Healthcare, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1518338706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 HEDGCOXE RD STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750253145",
            "telephone_number": "469-814-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 HEDGCOXE RD STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750253145",
            "telephone_number": "469-814-8211",
            "fax_number": "469-814-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZUKI",
        "first_name": "TAKAHIRO",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-13",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.