Individual provider Active NPI

Hyunsik Sung, D.M.D

  • General Practice Dentistry
  • Grand Prairie, TX
National Provider Identifier
1376973180
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29485 Issued in TX
Practice address
800 S Center St
Grand Prairie, TX 75051-1815
Phone
(972) 264-1662
Fax
(972) 264-6877
NPI assigned
Nov 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29485 TX Primary

Addresses

Primary practice location

800 S Center St
Grand Prairie, TX 75051-1815

Mailing address

800 S Center St
Grand Prairie, TX 75051-1815
Phone (972) 264-1662

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
29485TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Dental Partners Current Accepting new patients
Penn Dental Partners PLLC Current Accepting new patients
Leaf Dentistry LLC Past Accepting new patients

Locations

800 S Center St
Grand Prairie, TX 75051
Phone (972) 264-1662

Organizations & group practices 3

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": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1376973180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CENTER ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511815",
            "telephone_number": "972-264-1662",
            "fax_number": "972-264-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTER ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511815",
            "telephone_number": "972-264-1662",
            "fax_number": "972-264-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNG",
        "first_name": "HYUNSIK",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-14",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

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

Verify at the official NPI Registry.