Active NPI
Suteera T Hovijitra, DDS
- Prosthodontics
- Indianapolis, IN
National Provider Identifier
1609909787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 12008317
- Practice address
- 3750 Guion Rd Ste 215
Indianapolis, IN 46222-1669 - Phone
- (317) 924-5454
- Fax
- (317) 274-9544
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 12008317 | IN | Primary |
Addresses
Primary practice location
3750 Guion Rd Ste 215
Indianapolis, IN 46222-1669
Mailing address
4504 Hidden Orchard LN
Indianapolis, IN 46228-3025
Phone (317) 293-3361
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12008317 | IN | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609909787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4504 HIDDEN ORCHARD LN",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462283025",
"telephone_number": "317-293-3361",
"fax_number": "317-274-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 GUION RD STE 215",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462221669",
"telephone_number": "317-924-5454",
"fax_number": "317-274-9544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOVIJITRA",
"first_name": "SUTEERA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "IN",
"license": "12008317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.