Active NPI
Sun Park Kuo, DMD
- Dentist
- Tampa, FL
National Provider Identifier
1366456808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN17269
- Practice address
- 5225 Ehrlich Rd Ste a
Tampa, FL 33624-2066 - Phone
- (239) 888-9266
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN17269 | FL | Primary |
Addresses
Primary practice location
5225 Ehrlich Rd Ste a
Tampa, FL 33624-2066
Mailing address
5225 Ehrlich Rd Ste a
Tampa, FL 33624-2066
Phone (239) 888-9266
Other practice location 1
7312 W Cheyenne Ave
#3
Las Vegas, NV 89129
Phone (702) 396-9924
Other names 1
- Sun Park
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN17269 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pointe North Dental | Past | Accepting new patients | |
| Dr. Sun Park Kuo | Dentist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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.
-
- Dentist
- Tampa, FL
- NPI 1316455678
-
- Public Health or Welfare Agency
- Las Vegas, NV
- NPI 1013013283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1366456808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 EHRLICH RD STE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336242066",
"telephone_number": "239-888-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 EHRLICH RD STE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336242066",
"telephone_number": "239-888-9266"
}
],
"practiceLocations": [
{
"address_1": "7312 W Cheyenne Ave",
"address_2": "#3",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "89129",
"country_code": "US",
"telephone_number": "702-396-9924",
"fax_number": "702-396-3735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK KUO",
"first_name": "SUN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN17269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUN",
"last_name": "PARK",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.