Individual provider Active NPI

Sierra Elena Suarez Friend, DDS

  • Dentist
  • Martinsville, VA
National Provider Identifier
1831931260
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401418927 Issued in VA
Practice address
23 Fayette St
Martinsville, VA 24112-2703
Phone
(276) 638-0787
NPI assigned
Jun 7, 2024
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401418927 VA Primary

Addresses

Primary practice location

23 Fayette St
Martinsville, VA 24112-2703

Mailing address

29 Jones St
Martinsville, VA 24112-2716
Phone (804) 386-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240828003164 VA Order and Referring Only - DentistPractitioner - Dentist 4587103080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Martinsville Henry County Coalition for Health and Wellness Past Accepting new patients
Martinsville Henry County Coalition for Health and Wellness Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1831931260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 JONES ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122716",
            "telephone_number": "804-386-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 FAYETTE ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122703",
            "telephone_number": "276-638-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ FRIEND",
        "first_name": "SIERRA",
        "middle_name": "ELENA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-07-12",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401418927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.