Individual provider Active NPI

Suja Thomas, D.D.S. M.D.S

  • Dentist
  • Missouri City, TX
National Provider Identifier
1679711683
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29208 Issued in TX
Practice address
5819 Highway 6
Ste 210
Missouri City, TX 77459-4052
Phone
(281) 499-3275
NPI assigned
Jan 29, 2009
Last updated
Mar 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29208 TX Primary

Addresses

Primary practice location

5819 Highway 6
Ste 210
Missouri City, TX 77459-4052

Mailing address

5819 Highway 6
Ste 210
Missouri City, TX 77459-4052

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
29208TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Bend Pediatric Dentistry 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": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1679711683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 HIGHWAY 6",
            "address_2": "STE 210",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 HIGHWAY 6",
            "address_2": "STE 210",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594052",
            "telephone_number": "281-499-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SUJA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.  M.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.