Chun-Xiao Sun, DMD,MS,MSD,PHD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DD4212 Issued in NM

Practice address

8501 Candelaria Rd NE Ste D3
Albuquerque, NM 87112-1032

Phone

(505) 293-2334

Fax

(505) 293-2747

NPI assigned

Mar 15, 2010

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental House Golf Course, LLC

  dba Dental House

  • Dental Clinic/Center
  • Albuquerque, NM
  • NPI 1063989622
  NPD (past)
• Dr Lisa W Arnhart DDS PC

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1861456477
  NPD (past)
• Perfect Teeth - Wyoming and Candelaria P.C.

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1134240567
  NPD (past)

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023332350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12258 MOUNTAIN HAZE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221276",
            "telephone_number": "909-792-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 CANDELARIA RD NE STE D3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121032",
            "telephone_number": "505-293-2334",
            "fax_number": "505-293-2747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10250 Cottonwood Park NW Ste B",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871147019",
            "country_code": "US",
            "telephone_number": "505-890-0858",
            "fax_number": "505-890-1402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10151 Montgomery Blvd NE Ste C",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871113670",
            "country_code": "US",
            "telephone_number": "505-275-1662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8521 Golf Course Rd NW Ste 116",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871144549",
            "country_code": "US",
            "telephone_number": "505-897-6453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "CHUN-XIAO",
        "name_prefix": "Dr.",
        "credential": "DMD,MS,MSD,PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "59183",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "24695",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NM",
            "license": "DD4212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023332350",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Sumner, B.S.
• Wendell Weston Sumner, D.O.
• Sun & Moon Psychological Services LLC
• Sun Country Healthcare Network
• Chia Ling Sun
• Gwen Y Sun, MD
• Jerry Sun
• Yijuan Sun, MD
• Suncenter Medical Offices, LLC
• Sundance Technologies and Training Center, LLC (Sundance)

• Periodontics in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Periodontics in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.