Sucheta Gode Shoha, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015162 Issued in MI

Practice address

50 W Big Beaver Rd Ste 120
Bloomfield Hills, MI 48304-3911

Phone

(248) 648-3660

Fax

(248) 792-6631

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sue Shoha Professional name

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sue Shoha DDS PLLC

  • Dental Clinic/Center
  • Bloomfield Hills, MI
  • NPI 1437980802
  NPD

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1740484963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W BIG BEAVER RD STE 120",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043911",
            "telephone_number": "248-648-3660",
            "fax_number": "248-792-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W BIG BEAVER RD STE 120",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043911",
            "telephone_number": "248-648-3660",
            "fax_number": "248-792-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOHA",
        "first_name": "SUCHETA",
        "middle_name": "GODE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "015162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "SHOHA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jason Sherbel, DDS
• Mary Catherine Sherbel, DDS
• Lorretta Sherwood, P.T.
• Christa Shilling, M.D.
• Pria Shoha, DDS
• Hannah Shore, MA, LLC
• Michael Jonathan Short, M.D.
• Judith Shredneski, M.A., LLPC
• Tanya Paula Shrem, PSY.D.
• Rosemarie Sicilia, P.T.

• General Practice Dentistry in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.