Jeremy C Suess, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9491 Issued in OR

Practice address

10001 SE Sunnyside Rd
Ste 250
Clackamas, OR 97015-5746

Phone

(503) 786-3000

NPI assigned

Aug 7, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

State licenses

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1881941094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 SE SUNNYSIDE RD",
            "address_2": "STE 250",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155746",
            "telephone_number": "503-786-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 SE SUNNYSIDE RD",
            "address_2": "STE 250",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155746",
            "telephone_number": "503-786-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUESS",
        "first_name": "JEREMY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9491",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60172663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Charles Stroup, MS, LPC, CADC I
• Jacob Aaron Stutheit, CRNA
• Donald P Stutzman, MD
• Michelle Angelique Romero Sublett, MD
• Jeremy Suchanski
• Alyssa Brianna Sullivan
• Brett Michael Sullivan, D.M.D., M.D.
• Paul Sundstrom, ED.D.
• Sunny View Optometry LLC
• Sunnybrook - Addiction Medicine

• General Practice Dentistry in Clackamas, OR
• Providers in Clackamas, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.