Active NPI
Prerna Suri, DDS
- Dentist
- Onaway, MI
National Provider Identifier
1609569938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901601731
- Practice address
- 21258 M 68 Hwy
Onaway, MI 49765-9663 - Phone
- (989) 733-2082
- Fax
- (989) 318-4606
- NPI assigned
- Jun 1, 2023
- Last updated
- Jun 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901601731 | MI | Primary |
Addresses
Primary practice location
21258 M 68 Hwy
Onaway, MI 49765-9663
Mailing address
PO Box 427
Hillman, MI 49746-0427
Phone (989) 733-2082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230825000992 | MI | Order and Referring Only - Dentist | 5991168833 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1609569938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 427",
"city": "HILLMAN",
"state": "MI",
"postal_code": "497460427",
"telephone_number": "989-733-2082",
"fax_number": "989-318-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21258 M 68 HWY",
"city": "ONAWAY",
"state": "MI",
"postal_code": "497659663",
"telephone_number": "989-733-2082",
"fax_number": "989-318-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURI",
"first_name": "PRERNA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901601731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Onaway, MI
- Esther Ransom, LMSW
- Theodore K Reahm, D.O.
- Elaine C Smith, DO
- Amanda S Stein, RDH
- Sarah Elizabeth Straley, PA-C
- Theodore Reahm DO, PLC
- Thunder Bay Community Health Service, Inc (Presque Isle Academy II)
- Thunder Bay Community Health Service, Inc
- Thunder Bay Community Health Service, Inc
- Thunder Bay Community Health Service, Inc. (Thunder Bay Pharmacy Onaway)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.