Organization Active NPI

Sunny Smiles Dental PLLC

  • Dental Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1174193163
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SUNNY SMILES DENTAL PLLC
Practice address
821 57TH St
Brooklyn, NY 11220-3645
Phone
(718) 686-0313
Fax
(718) 686-0210
NPI assigned
Jun 30, 2021
Last updated
Jun 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Dr. Sunny Chan, DDSNPI 1366709610
Title
Owner
Phone
(917) 740-3883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

821 57TH St
Brooklyn, NY 11220-3645

Mailing address

2419 E 17TH St
Brooklyn, NY 11235-3523
Phone (917) 740-3883

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1174193163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353523",
            "telephone_number": "917-740-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 57TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203645",
            "telephone_number": "718-686-0313",
            "fax_number": "718-686-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY SMILES DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-740-3883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.