Lawrence Eric Suazo, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DD1997 Issued in NM

Practice address

2650 E. Pinon Frontage Rd. BLDG. 200
Farmington, NM 87402-5061

Phone

(505) 599-9359

Fax

(505) 599-8177

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1760443998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 E. PINON FRONTAGE RD. BLDG. 200",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874025061",
            "telephone_number": "505-599-9359",
            "fax_number": "505-599-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 E. PINON FRONTAGE RD. BLDG. 200",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874025061",
            "telephone_number": "505-599-9359",
            "fax_number": "505-599-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAZO",
        "first_name": "LAWRENCE",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NM",
            "license": "DD1997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83327",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison C. Stradiotto, MD
• Kennard Stradling, MD
• Straight Up Ministry, Inc
• Holly G Strain, CNP
• Ernest Lee Stromeyer
• Helen Sudkamp-Walker, APRN
• Steve T Sullivan, RDH
• Monique Lavae Summers, RN
• Summit Family Dental of Farmington, LLC
• Emily Sumrall, RN, BSN

• Pediatric Dentistry in Farmington, NM
• Providers in Farmington, NM by specialty
• Pediatric Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.