NPIMap

Organization Active NPI

Sun Jiaqi DDS, Inc.

  • Dental Clinic/Center
  • Tustin, CA
National Provider Identifier
1083209175
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SUN JIAQI DDS, INC.
Practice address
13217 Jamboree Rd Ste 281
Tustin, CA 92782-9158
Phone
(949) 431-6767
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Dr. Isaac Sun, DDSNPI 1417403395
Title
Ceo
Phone
(949) 431-6767

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

13217 Jamboree Rd Ste 281
Tustin, CA 92782-9158

Mailing address

13217 Jamboree Rd Ste 281
Tustin, CA 92782-9158
Phone (949) 431-6767

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1083209175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13217 JAMBOREE RD STE 281",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927829158",
            "telephone_number": "949-431-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13217 JAMBOREE RD STE 281",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927829158",
            "telephone_number": "949-431-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN JIAQI DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-431-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.