Active NPI
Gary Frank Sucaet, D.D.S.
- General Practice Dentistry
- Sterling Heights, MI
National Provider Identifier
1902928708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13343
- Practice address
- 3777 18 Mile Rd
Suite #4
Sterling Heights, MI 48314-3882 - Phone
- (586) 254-4100
- Fax
- (586) 254-6528
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13343 | MI | Primary |
Addresses
Primary practice location
3777 18 Mile Rd
Suite #4
Sterling Heights, MI 48314-3882
Mailing address
3777 18 Mile Rd
Suite #4
Sterling Heights, MI 48314-3882
Phone (586) 254-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 28, 2015 through Dec 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13343 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brush Rinse Floss SH PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Shelby TWP, MI
- NPI 1881324705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902928708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3777 18 MILE RD",
"address_2": "SUITE #4",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483143882",
"telephone_number": "586-254-4100",
"fax_number": "586-254-6528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3777 18 MILE RD",
"address_2": "SUITE #4",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483143882",
"telephone_number": "586-254-4100",
"fax_number": "586-254-6528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUCAET",
"first_name": "GARY",
"middle_name": "FRANK",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "13343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.