Organization Active NPI

D. Suri, DMD, Inc.

Doing business as Channing Dental

  • Dental Clinic/Center
  • Berkeley, CA
National Provider Identifier
1871165423
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
D. SURI, DMD, INC.
Doing business as
Channing Dental
Practice address
2240 Channing Way
Berkeley, CA 94704-2123
Phone
(510) 845-6494
NPI assigned
Jul 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Dr. Dipak Suri, DMD, MSNPI 1114583325
Title
President
Phone
(925) 997-5104

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2240 Channing Way
Berkeley, CA 94704-2123

Mailing address

2240 Channing Way
Berkeley, CA 94704-2123
Phone (510) 845-6494

Other names 1

  • Channing Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2240 Channing Way
Berkeley, CA 94704
Phone (510) 845-6494

Practitioners & affiliated clinicians

Practitioners 2

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": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1871165423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 CHANNING WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042123",
            "telephone_number": "510-845-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 CHANNING WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042123",
            "telephone_number": "510-845-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. SURI, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "SURI",
        "authorized_official_first_name": "DIPAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-997-5104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Channing Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.