Active NPI
Berkay T Suer, DDS
- Dentist
- Manchester, CT
National Provider Identifier
1841963931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13179
- Practice address
- 483 Middle Tpke W
Manchester, CT 06040-3863 - Phone
- (860) 645-0111
- NPI assigned
- Jul 26, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 115078-01 | NY | |
| Dentist | 122300000X | DN25993 | FL | |
| Dentist | 122300000X | 22DI02870600 | NJ | |
| Dentist | 122300000X | 13179 | CT | Primary |
Addresses
Primary practice location
483 Middle Tpke W
Manchester, CT 06040-3863
Mailing address
483 Middle Tpke W
Manchester, CT 06040-3863
Phone (860) 645-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115078-01 | Other | NY | DENTAL BOARD OF NEW YORK STATE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.columbiadental.com |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN25993 | FL | MD | Dentist |
| 22DI02870600 | NJ | MD | Dentist |
| 115078-01 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1841963931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 MIDDLE TPKE W",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060403863",
"telephone_number": "860-645-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 MIDDLE TPKE W",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060403863",
"telephone_number": "860-645-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUER",
"first_name": "BERKAY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-26",
"last_updated": "2022-05-04",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "115078-01",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN25993",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02870600",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "13179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL BOARD OF NEW YORK STATE",
"identifier": "115078-01",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.columbiadental.com",
"affiliation": "N",
"address_1": "483 Middle Tpke W",
"city": "Manchester",
"state": "CT",
"country_code": "US",
"postal_code": "060403863",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.