Kim Elaine Suga, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D0917 Issued in SD

Practice address

2001 W 45TH St
Sioux Falls, SD 57105-6265

Phone

(605) 338-9242

Fax

(605) 338-4867

NPI assigned

Jun 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Family Dental Center P.C.

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1164538450
  NPD (past) Authorized official

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

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1871720599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W 45TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056265",
            "telephone_number": "605-338-9242",
            "fax_number": "605-338-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W 45TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056265",
            "telephone_number": "605-338-9242",
            "fax_number": "605-338-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGA",
        "first_name": "KIM",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-20",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Tomasz Stys, MD
• Maria Stys, MD
• Tomasz P Stys, M.D.
• Jose Francisco Suarez Isaacs, M.D.
• Ananta Subedi, M.D.
• Robert C Suga, MD
• Raed A Sulaiman, M.D.
• Ebru Sulanc, M.D.
• Christopher Joseph Sumey, M.D.
• Mallory Summerer, NNP-BC

• General Practice Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.

Verify at the official NPI Registry.