Susan Sun, DIPL. OM (NCCAOM)

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

2011027169 Issued in MO

Practice address

2415 S Glendale St
Wichita, KS 67210-1202

Phone

(316) 293-8459

Fax

(833) 340-7321

NPI assigned

Aug 16, 2018

Last updated

Aug 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1174003412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 S. WASHINGTON AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67216",
            "telephone_number": "316-293-8459",
            "fax_number": "833-340-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 S GLENDALE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672101202",
            "telephone_number": "316-293-8459",
            "fax_number": "833-340-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DIPL. OM (NCCAOM)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MO",
            "license": "2011027169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Wichita, KS
• Providers in Wichita, KS by specialty
• Acupuncturist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.