NPIMap

Organization Active NPI

Tiffanie J.Sun, D.D.S.Professional Corp

  • Dentist
  • Sacramento, CA
National Provider Identifier
1063521722
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50681 Issued in CA
Legal business name
TIFFANIE J.SUN, D.D.S.PROFESSIONAL CORP
Practice address
1954 Del Paso Rd Ste 142
Sacramento, CA 95834-7707
Phone
(916) 921-6051
Fax
(916) 921-6480
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Dr. Tiffanie J Sun, DDSNPI 1841445590
Title
Owner
Phone
(916) 921-6051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 50681 CA Primary

Addresses

Primary practice location

1954 Del Paso Rd Ste 142
Sacramento, CA 95834-7707

Mailing address

1954 Del Paso Rd Ste 142
Sacramento, CA 95834-7707
Phone (916) 921-6051

Other names 1

  • Natomas Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1520 W El Camino Ave
Sacramento, CA 95833
Phone (916) 509-6140

1954 Del Paso Rd
Ste 142
Sacramento, CA 95834
Phone (916) 921-6051

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1063521722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 DEL PASO RD STE 142",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958347707",
            "telephone_number": "916-921-6051",
            "fax_number": "916-921-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 DEL PASO RD STE 142",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958347707",
            "telephone_number": "916-921-6051",
            "fax_number": "916-921-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANIE J.SUN, D.D.S.PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "TIFFANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-921-6051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natomas Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Natomas Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.