Organization Active NPI

Suzie Nguyen-Su, DDS., LTD

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1780346858
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SUZIE NGUYEN-SU, DDS., LTD
Practice address
2451 Professional CT Ste 110
Las Vegas, NV 89128-0827
Phone
(702) 240-4242
NPI assigned
Oct 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Suzie Nguyen-SuNPI 1700897733
Title
Owner
Phone
(702) 480-5777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2451 Professional CT Ste 110
Las Vegas, NV 89128-0827

Mailing address

2451 Professional CT Ste 110
Las Vegas, NV 89128-0827
Phone (702) 240-4242

Other names 1

  • SUZIE NGUYEN-SU, DDS., LTD Doing business as

National Provider Directory

National Provider Directory

Locations

2451 Professional Ct
Ste 110
Las Vegas, NV 89128
Phone (702) 240-4242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1780346858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 PROFESSIONAL CT STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280827",
            "telephone_number": "702-240-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 PROFESSIONAL CT STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280827",
            "telephone_number": "702-240-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZIE NGUYEN-SU, DDS., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN-SU",
        "authorized_official_first_name": "SUZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-480-5777"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUZIE NGUYEN-SU, DDS., LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.