David C Suh D D S Inc

Primary specialty

DentistTaxonomy code 122300000X

License

51197 Issued in CA

Legal business name

DAVID C SUH D D S INC

Practice address

3655 Lomita Blvd Ste 217
Torrance, CA 90505-3958

Phone

(310) 326-8572

Fax

(310) 326-1991

NPI assigned

Apr 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. David C Suh, DDSNPI 1669699302

Title

President

Phone

(310) 326-9572

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David C Suh, D.D.S

  • General Practice Dentistry
  • Kirkland, WA
  • NPI 1669699302

  CA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1992048318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 217",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053958",
            "telephone_number": "310-326-8572",
            "fax_number": "310-326-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 217",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053958",
            "telephone_number": "310-326-8572",
            "fax_number": "310-326-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C SUH D D S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-326-9572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "51197",
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.medicalanddentalbilling.com",
            "affiliation": "N",
            "address_1": "3655 Lomita Blvd Ste 217",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905053958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dentist in Torrance, CA
• Providers in Torrance, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.