Active NPI
Cheryl Alane Dun, PNP
- Pediatrics Physician
- Sacramento, CA
National Provider Identifier
1114040151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 403950
- Practice address
- 650 Howe Avenue, Suite 100
Sacramento, CA 95825 - Phone
- (916) 924-9337
- Fax
- (916) 924-8281
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 403950 | CA | Primary |
Addresses
Primary practice location
650 Howe Avenue, Suite 100
Sacramento, CA 95825
Mailing address
650 Howe Avenue, Suite 100
Sacramento, CA 95825
Phone (916) 924-9337
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7042 | Other | CA | FURNISHING NUMBER |
| 403950 | Other | CA | LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 403950 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1114040151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 HOWE AVENUE, SUITE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95825",
"telephone_number": "916-924-9337",
"fax_number": "916-924-8281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 HOWE AVENUE, SUITE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95825",
"telephone_number": "916-924-9337",
"fax_number": "916-924-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUN",
"first_name": "CHERYL",
"middle_name": "ALANE",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "403950",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FURNISHING NUMBER",
"identifier": "7042",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "403950",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}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 Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.