Sudheer J Surpure MD DDS Inc
NPI 1023609062 · Oral & Maxillofacial Surgery (D.M.D.) · Flagstaff, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sudheer J Surpure MD DDS Inc is a Oral & Maxillofacial Surgery (D.M.D.) organization in Flagstaff, AZ (NPI 1023609062).
Provider details
- NPI number
- 1023609062
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sudheer Surpure, President(615) 480-5534
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Grand Canyon Oral and Facial Surgery
- Doing business as
- Grand Canyon Oral and Facial Surgery
Additional practice locations (2)
- 1600 W University Ave Ste 101Flagstaff, AZ 86001-3154Phone: (928) 247-6200
- 1600 W Sunset Rd Ste BHenderson, NV 89014-2655Phone: (615) 480-5534
Registry dates
- Enumerated
- 2021-02-02
- Last updated
- 2021-04-08
- Certified
- 2021-03-16
Frequently asked questions
- What is Sudheer J Surpure MD DDS Inc's NPI number?
- Sudheer J Surpure MD DDS Inc's National Provider Identifier (NPI) is 1023609062, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sudheer J Surpure MD DDS Inc?
- Sudheer J Surpure MD DDS Inc is classified in the NPPES registry as Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is Sudheer J Surpure MD DDS Inc located?
- Sudheer J Surpure MD DDS Inc's practice location on file with NPPES is 1600 W University Ave Ste 101, Flagstaff, AZ 86001-3154.
- What is Sudheer J Surpure MD DDS Inc's phone number?
- The practice phone number listed in the NPPES registry for Sudheer J Surpure MD DDS Inc is (928) 247-6200.
- Does Sudheer J Surpure MD DDS Inc accept Medicare?
- Sudheer J Surpure MD DDS Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sudheer J Surpure MD DDS Inc?
- The authorized official listed on Sudheer J Surpure MD DDS Inc's NPPES record is Sudheer Surpure, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sudheer J Surpure MD DDS Inc's NPI active?
- Yes — Sudheer J Surpure MD DDS Inc's NPI (1023609062) is active in the NPPES registry as of the last update on 2021-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.