Organization Active NPI

White Eagle Family Dentistry

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1407916737
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WHITE EAGLE FAMILY DENTISTRY
Practice address
1315 Macom Dr
Suite 201
Naperville, IL 60564-9358
Phone
(630) 978-9005
Fax
(630) 978-9145
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. Heejoon Y Sun, D.M.D., M.P.H.NPI 1588091763
Title
Owner
Phone
(630) 978-9005

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

1315 Macom Dr
Suite 201
Naperville, IL 60564-9358

Mailing address

1315 Macom Dr
Suite 201
Naperville, IL 60564-9358
Phone (630) 978-9005

National Provider Directory

National Provider Directory

Locations

1315 Macom Dr
Ste 201
Naperville, IL 60564
Phone (630) 978-9005

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1407916737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 MACOM DR",
            "address_2": "SUITE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649358",
            "telephone_number": "630-978-9005",
            "fax_number": "630-978-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 MACOM DR",
            "address_2": "SUITE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649358",
            "telephone_number": "630-978-9005",
            "fax_number": "630-978-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE EAGLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "HEEJOON",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-978-9005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 8, 2008; 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.