Individual provider Active NPI

Paige Suvag, DDS

  • General Practice Dentistry
  • Marion, OH
National Provider Identifier
1700027455
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-022857 Issued in OH
Practice address
1598 Marion Mount Gilead Rd
Marion, OH 43302-5820
Phone
(740) 386-6600
Fax
(740) 386-6602
NPI assigned
Mar 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-022857 OH Primary

Addresses

Primary practice location

1598 Marion Mount Gilead Rd
Marion, OH 43302-5820

Mailing address

1598 Marion Mount Gilead Rd
Marion, OH 43302-5820
Phone (740) 386-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20150408000237 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4880912625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-022857OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Dental Partners LLP Past Accepting new patients
Braces One LLC Past Accepting new patients

Organizations & group practices 2

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": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1700027455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1598 MARION MOUNT GILEAD RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025820",
            "telephone_number": "740-386-6600",
            "fax_number": "740-386-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1598 MARION MOUNT GILEAD RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025820",
            "telephone_number": "740-386-6600",
            "fax_number": "740-386-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUVAG",
        "first_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.