Active NPI
Ye Joon Suh, D.D.S.
- Dentist
- Plano, TX
National Provider Identifier
1760799068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25702
- Practice address
- 3420 K Ave Ste 140
Plano, TX 75074-2329 - Phone
- (972) 424-8023
- NPI assigned
- Sep 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 59631 | CA | |
| Dentist | 122300000X | 25702 | TX | Primary |
Addresses
Primary practice location
3420 K Ave Ste 140
Plano, TX 75074-2329
Mailing address
2016 Huntcliffe CT
Allen, TX 75013-4723
Phone (310) 739-3791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59631 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1760799068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 HUNTCLIFFE CT",
"city": "ALLEN",
"state": "TX",
"postal_code": "750134723",
"telephone_number": "310-739-3791",
"fax_number": "214-764-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3420 K AVE STE 140",
"city": "PLANO",
"state": "TX",
"postal_code": "750742329",
"telephone_number": "972-424-8023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUH",
"first_name": "YE JOON",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-08",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "59631",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "25702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.