Organization Active NPI

Ning Miao Su, DDS, Ms, Inc

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1538319967
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54758 Issued in CA
Legal business name
NING MIAO SU, DDS, MS, INC
Practice address
14200 Culver Dr
Suite 205
Irvine, CA 92604-0312
Phone
(949) 653-5868
Fax
(949) 635-5860
NPI assigned
Sep 23, 2008
Last updated
Aug 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Ning Miao Su, DDS, MSNPI 1639369192
Title
Ceo
Phone
(949) 653-5868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 54758 CA Primary

Addresses

Primary practice location

14200 Culver Dr
Suite 205
Irvine, CA 92604-0312

Mailing address

PO Box 5716
Irvine, CA 92616-5716
Phone (949) 653-5868

National Provider Directory

National Provider Directory

Locations

14200 Culver Dr
Ste 205
Irvine, CA 92604
Phone (949) 653-5868

Practitioners & affiliated clinicians

Practitioners 1

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": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1538319967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5716",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926165716",
            "telephone_number": "949-653-5868",
            "fax_number": "949-653-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 CULVER DR",
            "address_2": "SUITE 205",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040312",
            "telephone_number": "949-653-5868",
            "fax_number": "949-635-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NING MIAO SU, DDS, MS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "NING MIAO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-653-5868",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.