Individual provider Active NPI

Doogi Sun, D.D.S.

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1043441579
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61035795 Issued in WA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
22DI02417300NJMDGeneral Practice Dentistry
26274TXMDGeneral Practice Dentistry
61035795WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Doogi Sun, DDS, PLLC CurrentSince Nov 20, 2022 Accepting new patients
Dr. Rick Chavez PastSince Nov 20, 2022 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.

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.

Verify at the official NPI Registry.