Active NPI
Suzanne Rizzardi
- Dentist
- West Palm Beach, FL
National Provider Identifier
1861666232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 18189
- Practice address
- 1150 45TH St
West Palm Beach, FL 33407-2361 - Phone
- (561) 514-5310
- NPI assigned
- Apr 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 18189 | FL | Primary |
Addresses
Primary practice location
1150 45TH St
West Palm Beach, FL 33407-2361
Mailing address
1150 45TH St
West Palm Beach, FL 33407-2361
Phone (561) 514-5310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170103001243 | FL | Order and Referring Only - Dentist | 0648551705 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 18189 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1861666232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 45TH ST",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072361",
"telephone_number": "561-514-5310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 45TH ST",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072361",
"telephone_number": "561-514-5310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZZARDI",
"first_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 18189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.