Individual provider Active NPI

David Suvie Ung

  • Dentist
  • Tucson, AZ
National Provider Identifier
1083897334
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7401 Issued in AZ
Practice address
7701 E Broadway Blvd
Tucson, AZ 85710-3941
Phone
(520) 722-9525
Fax
(520) 733-5940
NPI assigned
Dec 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7401 AZ Primary

Addresses

Primary practice location

7701 E Broadway Blvd
Tucson, AZ 85710-3941

Mailing address

2440 E Glenn St
Apt. 5202
Tucson, AZ 85719-2867
Phone (800) 417-4444

Other identifiers 1

IdentifierTypeStateIssuer
D7401MedicaidAZ

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
7401AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western Dental of Arizona, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1083897334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 E GLENN ST",
            "address_2": "APT. 5202",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192867",
            "telephone_number": "800-417-4444",
            "fax_number": "714-571-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103941",
            "telephone_number": "520-722-9525",
            "fax_number": "520-733-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNG",
        "first_name": "DAVID",
        "middle_name": "SUVIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "7401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D7401",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.