Sushma Acharya Subedi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60990591 Issued in WA

Practice address

2321 S Meridian
Puyallup, WA 98373-1554

Phone

(253) 845-7645

NPI assigned

Jun 15, 2018

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

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.

• Han & Nigam DMD PLLC

  • General Practice Dentistry
  • Puyallup, WA
  • NPI 1598041535
  NPD (past)

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1952895872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 ESTATE PL",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984667916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731554",
            "telephone_number": "253-845-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBEDI",
        "first_name": "SUSHMA",
        "middle_name": "ACHARYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60990591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan J Street, MD
• Shawn Strom
• Cameron Stroyan, D.M.D.
• Michael Kevin Strub, LSW
• Roxy Sturgeon
• Kendahl Mariko Sugai
• Jeffrey N Sullivan
• Leanne Sullivan, M.A., LMHCA
• Susan L. Sullivan, MD
• Brandy Nicole Summers, LMP

• General Practice Dentistry in Puyallup, WA
• Providers in Puyallup, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.