Dhyanesh Suresh, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

2005017729 Issued in MO

Practice address

246 NE Tudor Rd
Lees Summit, MO 64086-5696

Phone

(816) 554-1600

Fax

(816) 554-1798

NPI assigned

Jul 19, 2006

Last updated

Dec 9, 2016By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jungmeyer & Suresh Dental Enterprises LLC

  • Dentist
  • Lee's Summit, MO
  • NPI 1306211586
  NPD (past)
• Sheila R Jungmeyer DDS,PC

  • Dentist
  • Lee's Summit, MO
  • NPI 1508207697
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1942220595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "816-554-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "816-554-1600",
            "fax_number": "816-554-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURESH",
        "first_name": "DHYANESH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2005017729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Strength Physical Therapy, LLC
• Summit Therapy Solutions LLC
• Summit Village Family Dental LLC
• Sundance Rehabilitation Corp
• Supplemental
• Surgical Services, P.a. (Surgical Services P.C.)
• Susan Barngrover PHD, PC
• Paige Allison Susanka, OTR/L
• Ann Elizabeth Svensson, MA
• Erin M Swafford, OTR/L

• Dentist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.