Individual provider Active NPI

Christopher Sun, DMD

  • General Practice Dentistry
  • Evansville, IN
National Provider Identifier
1093449787
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12013871A Issued in IN
Practice address
12901 Highway 41 N
Evansville, IN 47725-8527
Phone
(812) 484-0195
NPI assigned
Jul 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12013871A IN Primary

Addresses

Primary practice location

12901 Highway 41 N
Evansville, IN 47725-8527

Mailing address

8188 Lincoln Ave Apt 188a
Evansville, IN 47715-7266
Phone (626) 679-8807

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
12013871AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of Indiana, P.C. General Practice CurrentSince Jul 17, 2022 Accepting new patients

Locations

12901 Highway 41 N
Evansville, IN 47725
Phone (812) 484-0195

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1093449787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8188 LINCOLN AVE APT 188A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157266",
            "telephone_number": "626-679-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 HIGHWAY 41 N",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477258527",
            "telephone_number": "812-484-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013871A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.