Donald R Sue, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D22550 Issued in CA

Practice address

1270 Concannon Blvd
Livermore, CA 94550-6002

Phone

(925) 443-6400

Fax

(925) 462-9505

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Donald R. Sue, DDS, Inc.

  • General Practice Dentistry
  • Livermore, CA
  • NPI 1770795288
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891914560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 CONCANNON BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506002",
            "telephone_number": "925-443-6400",
            "fax_number": "925-462-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 CONCANNON BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506002",
            "telephone_number": "925-443-6400",
            "fax_number": "925-462-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUE",
        "first_name": "DONALD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D22550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Stewart, RD
• Sharon Leah Stewart, LMFT
• Chris Stockhaus
• Strong Mamas Doula
• Barbara Strouzas, MA
• Michael B Sue, D.C.
• Steven Suen, PHARMD
• Amy Suezaki
• Bridgett Summerfeldt, RN
• Michelle Maria Sumpter

• General Practice Dentistry in Livermore, CA
• Providers in Livermore, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.