NPIMap

Organization Active NPI

Sunburst Dental P.C

  • Dental Clinic/Center
  • Naperville, IL
National Provider Identifier
1285406413
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SUNBURST DENTAL P.C
Practice address
1504 N Naper Blvd Ste 152
Naperville, IL 60563-4819
Phone
(630) 296-9297
Fax
(630) 296-9139
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Heng Xu, DDSNPI 1770950081
Title
Owner
Phone
(630) 296-9297

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 Primary

Addresses

Primary practice location

1504 N Naper Blvd Ste 152
Naperville, IL 60563-4819

Mailing address

1504 N Naper Blvd Ste 152
Naperville, IL 60563-4819
Phone (630) 296-9297

Other names 1

  • SUNRISE FAMILY DENTAL Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1285406413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 N NAPER BLVD STE 152",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634819",
            "telephone_number": "630-296-9297",
            "fax_number": "630-296-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 N NAPER BLVD STE 152",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634819",
            "telephone_number": "630-296-9297",
            "fax_number": "630-296-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBURST DENTAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-22",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "HENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-296-9297",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNRISE FAMILY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.