DR. SUSIE RO SUSIE CHAN DDS
NPI 1134495096
Dentist - General Practice in San Diego, CA

Q: What is Susie Ro's NPI number?

The NPI number for Susie Ro is 1134495096. It was assigned to this individual provider in the NPPES registry on March 26, 2012. The provider is also known as Dr. Susie Chan Susie Chan Dds.

Q: What is Susie Ro's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Susie Ro was last updated on March 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 26, 2012

17173 RALPHS RANCH RD, SAN DIEGO, CA 92127(714) 421-0430 Get Directions Write a Review

NPPES record last updated: March 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Susie Ro Susie Chan Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSIE RO SUSIE CHAN DDS (NPI 1134495096) is an individual general practice provider in San Diego, California, licensed in California (57743) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1134495096

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SUSIE ROCredential: SUSIE CHAN DDS

Location Address17173 RALPHS RANCH RDSan Diego, CA 92127-7825

Mailing Address17173 Ralphs Ranch RdSan Diego, CA 92127-7825 · (714) 421-0430

Phone(714) 421-0430

Sole ProprietorNo

Enumeration DateMarch 26, 2012

✔ NPI 1134495096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 57743

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

17173 RALPHS RANCH RD, San Diego, CA 92127

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Other Names 1

Former Name (1)Dr. Susie Chan Susie Chan Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susie Ro's NPI number?

The NPI number for Susie Ro is 1134495096. It was assigned to this individual provider in the NPPES registry on March 26, 2012. The provider is also known as Dr. Susie Chan Susie Chan Dds.

Where is Susie Ro located?

Susie Ro practices at 17173 Ralphs Ranch Rd, San Diego, CA 92127. The listed phone number is (714) 421-0430.

What is Susie Ro's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Susie Ro accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Susie Ro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susie Ro was last updated on March 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.