Individual provider Active NPI

Suzanne Kathleen Burgee, MSDH, RDH, QDA

  • Dental Hygienist
  • Baltimore, MD
National Provider Identifier
1598310799
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
6738 Issued in MD
Practice address
650 W Baltimore St
Baltimore, MD 21201-1510
Phone
(410) 693-5332
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 6738 MD Primary

Addresses

Primary practice location

650 W Baltimore St
Baltimore, MD 21201-1510

Mailing address

2568 Davidsonville Rd
Gambrills, MD 21054-2110
Phone (410) 693-5332

Other practice location 1

5454 Wisconsin Ave Ste 1465
Chevy Chase, MD 20815-6932
Phone (410) 693-5332

Other practice location 2

5570 Shady Side Rd
Churchton, MD 20733-9639
Phone (410) 693-5332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6738MDMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1598310799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 DAVIDSONVILLE RD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210542110",
            "telephone_number": "410-693-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011510",
            "telephone_number": "410-693-5332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5454 Wisconsin Ave Ste 1465",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208156932",
            "country_code": "US",
            "telephone_number": "410-693-5332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5570 Shady Side Rd",
            "address_purpose": "LOCATION",
            "city": "Churchton",
            "state": "MD",
            "postal_code": "207339639",
            "country_code": "US",
            "telephone_number": "410-693-5332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGEE",
        "first_name": "SUZANNE",
        "middle_name": "KATHLEEN",
        "name_prefix": "Prof.",
        "credential": "MSDH, RDH, QDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MD",
            "license": "6738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.