Suzanne M Fjarli II, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51879 Issued in CA

Practice address

9800 S la Cienega Blvd
Ste 899, RM 1
Inglewood, CA 90301-4440

Phone

(360) 449-5711

Fax

(877) 725-7443

NPI assigned

Oct 30, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lerian Dental Corporation

  • General Practice Dentistry
  • Santa Rosa, CA
  • NPI 1629033857
  NPD (past)
• William Cox Dental Corporation

  • Dentist
  • Santa Rosa, CA
  • NPI 1285678946
  NPD (past)

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1700214657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 GUERNEVILLE RD",
            "address_2": "STE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037220",
            "telephone_number": "707-528-7000",
            "fax_number": "707-528-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 S LA CIENEGA BLVD",
            "address_2": "STE 899, RM 1",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014440",
            "telephone_number": "360-449-5711",
            "fax_number": "877-725-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FJARLI",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Finley
• Firefly in the Sky
• Firefly in the Sky
• First Step Recovery
• John Luther Fisher, D.C, R.A.S.
• Naziem Dalton Flanigan
• Brian Fleming
• Sam Truly Fleming
• Thomas Fleming, BS PSYCOLOGY
• Cynthia Flores

• General Practice Dentistry in Inglewood, CA
• Providers in Inglewood, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.