Individual provider Active NPI

Stephen Y Sung, DDS

  • Dentist
  • Denton, TX
National Provider Identifier
1235790866
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35316 Issued in TX
Practice address
721 S Interstate 35 E Ste 206
Denton, TX 76205-8153
Phone
(940) 380-1188
NPI assigned
Jun 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35316 TX Primary

Addresses

Primary practice location

721 S Interstate 35 E Ste 206
Denton, TX 76205-8153

Mailing address

3450 S State Highway 161 Ste 200
Grand Prairie, TX 75052-7281
Phone (972) 820-7214

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
35316TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Dental of Grand Prairie PLLC Dentist CurrentSince May 21, 2023 Accepting new patients
Sleep Relief of Denton General Practice PastSince Mar 13, 2022 Accepting new patients

Locations

3450 S Highway 161
Ste 200
Grand Prairie, TX 75052
Phone (972) 820-7214

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1235790866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 S STATE HIGHWAY 161 STE 200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527281",
            "telephone_number": "972-820-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S INTERSTATE 35 E STE 206",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762058153",
            "telephone_number": "940-380-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNG",
        "first_name": "STEPHEN",
        "middle_name": "Y",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.