Individual provider Active NPI

Lani Chun, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sandy, UT
National Provider Identifier
1437435203
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4823929-9921 Issued in UT
Practice address
8544 S Fayeway Dr
Sandy, UT 84094-1309
Phone
(415) 846-3259
NPI assigned
Oct 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 48249 CA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 4823929-9921 UT Primary

Addresses

Primary practice location

8544 S Fayeway Dr
Sandy, UT 84094-1309

Mailing address

8544 S Fayeway Dr
Sandy, UT 84094-1309
Phone (415) 846-3259

Other practice location 1

300 Military W # 306
Benicia, CA 94510-3037
Phone (707) 745-2525

Other practice location 2

13825 S Redwood Rd
Bluffdale, UT 84065-5222
Phone (801) 254-9700

Other practice location 3

140 Admiral Callaghan Ln Ste A
Vallejo, CA 94591-4005
Phone (707) 643-1011

Other practice location 4

6287 S Redwood Rd Ste 202
Taylorsville, UT 84123-6655
Phone (801) 262-3777

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
4823929-9921UTMDOrthodontics and Dentofacial Orthopedic Dentist
48249CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peter E. Paulos, DDS, Ms Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Redwood Orthodontics Orthodontics and Dentofacial Orthopedics PastSince Nov 5, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1437435203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8544 S FAYEWAY DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840941309",
            "telephone_number": "415-846-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8544 S FAYEWAY DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840941309",
            "telephone_number": "415-846-3259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Military W # 306",
            "address_purpose": "LOCATION",
            "city": "Benicia",
            "state": "CA",
            "postal_code": "945103037",
            "country_code": "US",
            "telephone_number": "707-745-2525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13825 S Redwood Rd",
            "address_purpose": "LOCATION",
            "city": "Bluffdale",
            "state": "UT",
            "postal_code": "840655222",
            "country_code": "US",
            "telephone_number": "801-254-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Admiral Callaghan Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945914005",
            "country_code": "US",
            "telephone_number": "707-643-1011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6287 S Redwood Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "UT",
            "postal_code": "841236655",
            "country_code": "US",
            "telephone_number": "801-262-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUN",
        "first_name": "LANI",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "48249",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "4823929-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.