Active NPI
Suzanne Lynn Wenzlaff, D.D.S.
- Dentist
- Los Angeles, CA
National Provider Identifier
1639280969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18954
- Practice address
- 925 W. 34TH St
University of Southern Ca School of Dentistry
Los Angeles, CA 90089 - Phone
- (323) 445-0146
- NPI assigned
- Aug 31, 2006
- 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 | 18954 | CA | Primary |
Addresses
Primary practice location
925 W. 34TH St
University of Southern Ca School of Dentistry
Los Angeles, CA 90089
Mailing address
3247 Waverly Drive
L.a., CA 90027
Phone (323) 668-1186
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 |
|---|---|---|---|
| 18954 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1639280969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3247 WAVERLY DRIVE",
"city": "L.A.",
"state": "CA",
"postal_code": "90027",
"telephone_number": "323-668-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 W. 34TH ST",
"address_2": "UNIVERSITY OF SOUTHERN CA SCHOOL OF DENTISTRY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90089",
"telephone_number": "323-445-0146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENZLAFF",
"first_name": "SUZANNE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "18954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.