John Michael Su

Primary specialty

DentistTaxonomy code 122300000X

License

19092 Issued in TX

Practice address

6655 Greatwood Pkwy
Sugar Land, TX 77479-6314

Phone

(281) 341-5116

Fax

(281) 341-5126

NPI assigned

May 1, 2008

Last updated

Jul 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• J. Michael Su D.D.S., P.a.

  • Dentist
  • Sugar Land, TX
  • NPI 1801002282
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1548436322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 GREATWOOD PKWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796314",
            "telephone_number": "281-341-5116",
            "fax_number": "281-341-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 GREATWOOD PKWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796314",
            "telephone_number": "281-341-5116",
            "fax_number": "281-341-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009882401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stevie Stringfellow, CNIM
• Stroke and Inpatient Neurology of Texas
• Andrea Ramirez Stroot, R.PH.
• Miranda J Stuckey, LSA
• Annabelle Lucente Su, PT
• Alexandria Suarez, DNP, FNP-C
• Sonia Simon Suarez, LCSW
• Vidhya Subramanian, MD
• Success Healthcare Resources
• Pavlina Paja Suchanova, M.D.

• Dentist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.