Individual provider Active NPI

Colin Suzman, D.D.S.

  • Dentist
  • Irvine, CA
National Provider Identifier
1710086616
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37371 Issued in CA
Practice address
4330 Barranca Pkwy
Suite 100
Irvine, CA 92604-4755
Phone
(949) 552-6334
Fax
(949) 552-1270
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37371 CA Primary

Addresses

Primary practice location

4330 Barranca Pkwy
Suite 100
Irvine, CA 92604-4755

Mailing address

4330 Barranca Pkwy
Suite 100
Irvine, CALIFORNIA 92604
ZA
Phone (949) 552-6334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 27, 2019 through Jun 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37371CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colin Suzman, BDS, DDS, a Professional Corp. CurrentSince Aug 18, 2024 Accepting new patients

Locations

4330 Barranca Pkwy
Ste 100
Irvine, CA 92604
Phone (949) 552-6334

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710086616",
    "addresses": [
        {
            "country_code": "ZA",
            "country_name": "South Africa",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "4330 BARRANCA PKWY",
            "address_2": "SUITE 100",
            "city": "IRVINE",
            "state": "CALIFORNIA",
            "postal_code": "92604",
            "telephone_number": "949-552-6334",
            "fax_number": "949-552-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 BARRANCA PKWY",
            "address_2": "SUITE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044755",
            "telephone_number": "949-552-6334",
            "fax_number": "949-552-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZMAN",
        "first_name": "COLIN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.