Melisa Susanto, DDS — NPI 1396044517
Melisa Susanto, DDS’s National Provider Identifier is 1396044517. NPPES classifies this as a Type 1 individual record and reports a practice location in Puyallup, Washington. The primary taxonomy is Pediatric Dentistry.
Key facts
- NPI
- 1396044517
- Entity type
- Type 1 individual
- NPPES status
- Active in the August 10, 2026 snapshot
- Practice location
- 16810 MERIDIAN E, SUITE J104
Puyallup, Washington 98375 - Practice telephone
- (626) 241-2669
- Primary taxonomy
- Pediatric Dentistry
- Additional taxonomies
-
- General Practice Dentistry
- Enumeration date
- March 28, 2011
- NPPES last update
- July 28, 2014
- Source
- CMS NPPES, NPPES Data Dissemination August 2026 V2
Questions answered by the NPPES record
What is the NPI for Melisa Susanto, DDS?
The NPI listed for Melisa Susanto, DDS in the NPPES snapshot is 1396044517. The number passes the NPI check-digit test and is recorded as active in that snapshot.
Is NPI 1396044517 an individual or organization record?
NPPES records NPI 1396044517 as an Entity Type 1 record, which CMS assigns to an individual health care provider.
Where is the reported practice location?
The primary practice location reported to NPPES is 16810 MERIDIAN E, SUITE J104, Puyallup, Washington 98375.
What taxonomy codes are listed for this NPI?
2 taxonomy codes are listed. Primary: Pediatric Dentistry (1223P0221X). Additional: General Practice Dentistry (1223G0001X). Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.
When was the NPPES record last updated?
NPPES reports a last update date of July 28, 2014 and an enumeration date of March 28, 2011, as published in NPPES Data Dissemination August 2026 V2.
Source and data date
All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.
CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.
Directory pages
This profile is listed on the Puyallup, Washington NPI directory and the Washington NPI directory.
Other published profiles in Puyallup, WA
Up to ten other profiles this site publishes for Puyallup, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 48 published profiles.
Independent service disclaimer
This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.