Active NPI
Doogi Sun, D.D.S.
- General Practice Dentistry
- Seattle, WA
National Provider Identifier
1043441579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61035795
- Practice address
- 8006 15TH Ave NW
Seattle, WA 98117-3601 - Phone
- (206) 789-6377
- Fax
- (206) 781-9291
- NPI assigned
- Jul 31, 2009
- Last updated
- Nov 16, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02417300 | NJ | |
| General Practice Dentistry | 1223G0001X | 26274 | TX | |
| General Practice Dentistry | 1223G0001X | 61035795 | WA | Primary |
Addresses
Primary practice location
8006 15TH Ave NW
Seattle, WA 98117-3601
Mailing address
8006 15TH Ave NW
Seattle, WA 98117-3601
Phone (206) 789-6377
Other practice location 1
104 Professional Park Dr
Victoria, TX 77904-2351
Phone (201) 675-7662
Other names 1
- Dr. Doogie Sun
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02417300 | NJ | MD | General Practice Dentistry |
| 26274 | TX | MD | General Practice Dentistry |
| 61035795 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doogi Sun, DDS, PLLC | Current | Accepting new patients | |
| Dr. Rick Chavez | Past | Accepting new patients |
Locations
8006 15th Ave NW
Seattle, WA 98117
Phone (206) 789-6377
Organizations & group practices 2
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 Clinic/Center
- Seattle, WA
- NPI 1861340028
-
- Dental Clinic/Center
- Seattle, WA
- NPI 1912159146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1043441579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8006 15TH AVE NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981173601",
"telephone_number": "206-789-6377",
"fax_number": "206-781-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8006 15TH AVE NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981173601",
"telephone_number": "206-789-6377",
"fax_number": "206-781-9291"
}
],
"practiceLocations": [
{
"address_1": "104 Professional Park Dr",
"address_purpose": "LOCATION",
"city": "Victoria",
"state": "TX",
"postal_code": "779042351",
"country_code": "US",
"telephone_number": "201-675-7662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUN",
"first_name": "DOOGI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-31",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02417300",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "26274",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "61035795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOOGIE",
"last_name": "SUN",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.