Organization Active NPI

Henry a Suarez DDS Inc

  • General Practice Dentistry
  • Van Nuys, CA
National Provider Identifier
1609979020
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49675 Issued in CA
Legal business name
HENRY A SUAREZ DDS INC
Doing business as
Family Dentistry
Practice address
15355 Sherman Way Ste K
Van Nuys, CA 91406-4200
Phone
(818) 997-7797
Fax
(818) 762-8849
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Henry A Suarez, DDSNPI 1639377831
Title
President
Phone
(818) 997-7797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49675 CA Primary

Addresses

Primary practice location

15355 Sherman Way Ste K
Van Nuys, CA 91406-4200

Mailing address

15355 Sherman Way Ste K
Van Nuys, CA 91406-4200
Phone (818) 997-7797

Other names 1

  • Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

12037 Riverside Dr
Valley Village, CA 91607
Phone (818) 762-8393

15355 Sherman Way
Ste K
Van Nuys, CA 91406
Phone (818) 997-7797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1609979020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15355 SHERMAN WAY STE K",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064200",
            "telephone_number": "818-997-7797",
            "fax_number": "818-762-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15355 SHERMAN WAY STE K",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064200",
            "telephone_number": "818-997-7797",
            "fax_number": "818-762-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY A SUAREZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-997-7797",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.