Organization Active NPI

Suk Young Ahn DDS Inc

  • Dentist
  • Chico, CA
National Provider Identifier
1518344175
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51226 Issued in CA
Legal business name
SUK YOUNG AHN DDS INC
Practice address
111 Raley Blvd
Suite 260
Chico, CA 95928-8351
Phone
(530) 342-0104
Fax
(530) 342-8009
NPI assigned
May 4, 2015
Last updated
May 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Miss Suk Young Ahn, DDS
Title
Ceo
Phone
(530) 566-2598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 51226 CA Primary

Addresses

Primary practice location

111 Raley Blvd
Suite 260
Chico, CA 95928-8351

Mailing address

111 Raley Blvd
Suite 260
Chico, CA 95928-8351
Phone (530) 342-0104

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1518344175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 RALEY BLVD",
            "address_2": "SUITE 260",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288351",
            "telephone_number": "530-342-0104",
            "fax_number": "530-342-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RALEY BLVD",
            "address_2": "SUITE 260",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288351",
            "telephone_number": "530-342-0104",
            "fax_number": "530-342-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUK YOUNG AHN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "SUK",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-566-2598",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "51226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.