Active NPI
Sunny Song Chung, DDS
- General Practice Dentistry
- Fuquay Varina, NC
National Provider Identifier
1154472983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7760
- Practice address
- 1213 N Main St
Fuquay Varina, NC 27526-2616 - Phone
- (910) 814-2944
- NPI assigned
- Jan 16, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7760 | NC | Primary |
Addresses
Primary practice location
1213 N Main St
Fuquay Varina, NC 27526-2616
Mailing address
PO Box 2227
Lillington, NC 27546-2227
Phone (910) 814-2944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89902U2 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160629002717 | NC | Order and Referring Only - Dentist | 3577538560 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane & Associates X DDS PA | General Practice | Past | Accepting new patients |
| Don G Lane II,DDS,PLLC | Past | Accepting new patients | |
| Lane and Associates I DDS PA | General Practice | Past | Accepting new patients |
| Lane and Associates VI DDS PA | General Practice | Past | Accepting new patients |
| Lane and Associates V, DDS PA | General Practice | Past | Accepting new patients |
| Lane and Associates Xxiii, DDS, PA | General Practice | Past | Accepting new patients |
| Don G Lane DDS,PLLC | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Dentist
- Erwin, NC
- NPI 1154532935
-
- Dentist
- Raleigh, NC
- NPI 1962696336
-
- General Practice Dentistry
- Fuquay Varina, NC
- NPI 1154336642
General Practice
-
- General Practice Dentistry
- Pittsboro, NC
- NPI 1861815698
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154472983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2227",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275462227",
"telephone_number": "910-814-2944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 N MAIN ST",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262616",
"telephone_number": "910-814-2944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "SUNNY",
"middle_name": "SONG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7760",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89902U2",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.