Korine Denise Suess, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

22891 Issued in CA

Practice address

837 S Fair Oaks Ave
#203
Pasadena, CA 91105-2628

Phone

(626) 793-2107

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Korine Denise Staeheli Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730309162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 ORANGE GROVE AVE",
            "address_2": "APT B",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302353",
            "telephone_number": "253-988-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 S FAIR OAKS AVE",
            "address_2": "#203",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052628",
            "telephone_number": "626-793-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUESS",
        "first_name": "KORINE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "R.D.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "22891",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH00006553",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.D.H. LICENSE NUMBER",
            "identifier": "22891",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORINE",
            "last_name": "STAEHELI",
            "middle_name": "DENISE",
            "credential": "R.D.H.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natasha Tiana Subadya
• Diana Subdiaz, R.N
• Keiko Sudani, M.A., MFT
• Anna Green Griffin Sudeth, LMFT
• Sudonpo Inc
• Kiersten Chieko Sugano-Weaver, COTA
• Jeanell Suggs-Munoz, MFT
• Joy Sugimura, MSW
• Alice Suh, PHARM.D.
• Connie Young Suh, OTR/L

• Dental Hygienist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.