Suhyun Rue, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN015910 Issued in GA

Practice address

3590 Braselton Hwy Ste 201
Dacula, GA 30019

Phone

(678) 714-7575

NPI assigned

Oct 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1619203049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 BRASELTON HWY STE 201",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191120",
            "telephone_number": "678-714-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 BRASELTON HWY STE 201",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "30019",
            "telephone_number": "678-714-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUE",
        "first_name": "SUHYUN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN015910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Mac Rounds, M.S., CCC-SLP
• Rashod Rouse
• Routly Counseling and Consulting
• David G Routly, MA LPC CPCS BC-TMH
• Joseph Rouw, OD, FAAO, FCOVD
• Cielitha Ruffin
• Derek Keith Rushing, DPT
• Joanna Russell, PT, DPT
• Tamekia Ruth, MA, CCC-SLP
• Christina Lawson Ryan, M.ED., CCC-SLP

• Pediatric Dentistry in Dacula, GA
• Providers in Dacula, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.

Verify at the official NPI Registry.