Individual provider Active NPI

Tina Feng-Pei Sun, DDS

  • General Practice Dentistry
  • Rowland Heights, CA
National Provider Identifier
1144430976
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42006 Issued in CA
Practice address
1758 Sierra Leone Ave Ste C
Rowland Heights, CA 91748-5837
Phone
(626) 935-8600
Fax
(626) 935-8604
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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 42006 CA Primary

Addresses

Primary practice location

1758 Sierra Leone Ave Ste C
Rowland Heights, CA 91748-5837

Mailing address

1758 Sierra Leone Ave Ste C
Rowland Heights, CA 91748-5837
Phone (626) 935-8600

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
42006CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1144430976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 SIERRA LEONE AVE STE C",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917485837",
            "telephone_number": "626-935-8600",
            "fax_number": "626-935-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 SIERRA LEONE AVE STE C",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917485837",
            "telephone_number": "626-935-8600",
            "fax_number": "626-935-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "TINA",
        "middle_name": "FENG-PEI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.