Ngocdiep Nguyen Sudbrook, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18141 Issued in TX

Practice address

1101 Jupiter Rd
Plano, TX 75074-7055

Phone

(972) 422-5020

Fax

(972) 578-6049

NPI assigned

Oct 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. N. Debbie Sudbrook Other name

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Trophy Dental of Plano, P.a.

  dba Trophy Dental

  • General Practice Dentistry
  • Plano, TX
  • NPI 1700962982
  NPD (past)

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1558512012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 JUPITER RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750747055",
            "telephone_number": "972-422-5020",
            "fax_number": "972-578-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 JUPITER RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750747055",
            "telephone_number": "972-422-5020",
            "fax_number": "972-578-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDBROOK",
        "first_name": "NGOCDIEP",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N. DEBBIE",
            "last_name": "SUDBROOK",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Subias
• Sangeetha Subramanian
• Sujatha Hari Subramanian, M.D.
• Vairavan Saravanan Subramanian Jr., M.D.
• Sudama Reddi M.D, P.a
• Sue Ellen Baum MD LLC
• Jessica Suero, FNP-C
• Monti Suggs, MS, OTL
• Kwangjin Suh
• Ye Joon Suh, D.D.S.

• General Practice Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.

Verify at the official NPI Registry.