Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Melisa Susanto, DDS
Pediatric Dentistry in Puyallup, WA · enumerated 2011.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1396044517
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Registry record
Entity type Individual (Type 1)
Name Melisa Susanto
Credential DDS
Sex Female
Practice address 16810 Meridian E, Suite J104, Puyallup, WA, 98375
Phone (626) 241-2669
Enumeration date Mar 28, 2011
Last updated in NPPES Jul 28, 2014
Taxonomy & licenses
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees.
About the DDS credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1396044517 active?
Yes, as of the latest NPPES snapshot, NPI 1396044517 is active (record last updated 2014-07-28).
How do I verify Melisa Susanto's NPI record?
Cross-check NPI 1396044517 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-28.