Individual provider Active NPI

Salina Sophera Suy, D.D.S.

  • General Practice Dentistry
  • Utica, NY
National Provider Identifier
1649620535
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
059129 Issued in NY
Practice address
8 Business Park CT
Utica, NY 13502-6308
Phone
(315) 732-6719
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 059129 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

8 Business Park CT
Utica, NY 13502-6308

Mailing address

1606 Genesee St
Suite 2
Utica, NY 13502-5431
Phone (716) 308-1891

Other practice location 1

2607 Genesee St
Utica, NY 13501-6216
Phone (315) 724-3197

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

LicenseStateTypeSpecialty
059129NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
John a Zalatan DMD PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649620535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 GENESEE ST",
            "address_2": "SUITE 2",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025431",
            "telephone_number": "716-308-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BUSINESS PARK CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026308",
            "telephone_number": "315-732-6719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2607 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135016216",
            "country_code": "US",
            "telephone_number": "315-724-3197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUY",
        "first_name": "SALINA",
        "middle_name": "SOPHERA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059129",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.