Yan Sun, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1855432 Issued in MA

Practice address

302 Washington St
Gloucester, MA 01930-4836

Phone

(978) 282-8899

Fax

(978) 236-0290

NPI assigned

Aug 2, 2010

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Primary Care Physician North PC

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1902363294
  NPD Authorized official

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1295049211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CUTTER AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442926",
            "telephone_number": "978-282-8899",
            "fax_number": "978-236-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WASHINGTON ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019304836",
            "telephone_number": "978-282-8899",
            "fax_number": "978-236-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "YAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Stone, MS, RDN, LDN
• Sara B Stotzer
• Pamela A Stratton, LIC AC MAOM
• Molly Jameel Sughair
• Trudy A Summers, M.A., L.M.H.C.
• Nobiru Suzuki, DMD
• David Gordon Swanson, MA
• Sarah Jane Swart, M.ED.
• Jeremiah Sweet
• Lisa Tabbah, D.M.D.

• Dentist in Gloucester, MA
• Providers in Gloucester, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.