Individual provider Active NPI

Suzanne L Delima, D.D.S.

  • Periodontics
  • Aurora, CO
National Provider Identifier
1831456359
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
00202377 Issued in CO
Practice address
23963 E Prospect Ave # Hv2Be
Aurora, CO 80016-5342
Phone
(303) 400-9898
NPI assigned
Apr 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.023666 OH
Periodontics 1223P0300X 00202377 CO Primary

Addresses

Primary practice location

23963 E Prospect Ave # Hv2Be
Aurora, CO 80016-5342

Mailing address

23963 E Prospect Ave # Hv2Be
Aurora, CO 80016-5342
Phone (303) 400-9898

Other practice location 1

2111 Champa St
Denver, CO 80205-2529
Phone (303) 312-9909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20160321000985 CO Order and Referring Only - DentistPractitioner - Dentist 7719291186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.023666OHMDDentist
00202377COMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1335052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1831456359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23963 E PROSPECT AVE # HV2BE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165342",
            "telephone_number": "303-400-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23963 E PROSPECT AVE # HV2BE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165342",
            "telephone_number": "303-400-9898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 Champa St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802052529",
            "country_code": "US",
            "telephone_number": "303-312-9909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELIMA",
        "first_name": "SUZANNE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-22",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023666",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "00202377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.