Active NPI
Takahiro Suzuki, D.D.S.
- General Practice Dentistry
- Plano, TX
National Provider Identifier
1518338706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31459
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160531001996 | TX | Order and Referring Only - Dentist | 1052601267 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.