Organization Active NPI

Suzan Fu DDS LTD a Nevada Corp

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1659903946
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SUZAN FU DDS LTD A NEVADA CORP
Practice address
1958 Village Center Cir Ste 4
Las Vegas, NV 89134-6240
Phone
(702) 914-6600
NPI assigned
Feb 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Suzan Fu, DDS
Title
President
Phone
(702) 914-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1958 Village Center Cir Ste 4
Las Vegas, NV 89134-6240

Mailing address

1958 Village Center Cir Ste 4
Las Vegas, NV 89134-6240

National Provider Directory

National Provider Directory

Locations

1958 Village Center Cir
Ste 4
Las Vegas, NV 89134
Phone (702) 914-6600

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1659903946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 VILLAGE CENTER CIR STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 VILLAGE CENTER CIR STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346240",
            "telephone_number": "702-914-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZAN FU DDS LTD A NEVADA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "FU",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-914-6600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.