Active NPI
Inae J Suh, DDS
- Dentist
- Anaheim, CA
National Provider Identifier
1619034998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38368
- Practice address
- 515 S Beach Blvd Ste D
Anaheim, CA 92804-1812 - Phone
- (714) 828-6500
- Fax
- (714) 828-4365
- NPI assigned
- Jan 3, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 38368 | CA | Primary |
Addresses
Primary practice location
515 S Beach Blvd Ste D
Anaheim, CA 92804-1812
Mailing address
515 S Beach Blvd Ste D
Anaheim, CA 92804-1812
Phone (714) 828-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20160129001965 | CA | Order and Referring Only - Dentist | 6901109677 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38368 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Byung Un Yoo DDS Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619034998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 S BEACH BLVD STE D",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928041812",
"telephone_number": "714-828-6500",
"fax_number": "714-828-4365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 S BEACH BLVD STE D",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928041812",
"telephone_number": "714-828-6500",
"fax_number": "714-828-4365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUH",
"first_name": "INAE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "38368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.