Active NPI
Dien Sun, DDS
- Pediatric Dentistry
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 102735
- Practice address
- 4650 W Sunset Blvd
Los Angeles, CA 90027 - Phone
- (323) 660-2450
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | 102735 | CA | Primary |
Addresses
Primary practice location
4650 W Sunset Blvd
Los Angeles, CA 90027
Mailing address
2729 Westshire Dr
Los Angeles, CA 90068-1929
Phone (858) 610-0893
Other practice location 1
5287 Birch Hill Pt
San Diego, CA 92130-6934
Phone (858) 610-0893
Other practice location 2
5287 Birch Hill Pt
San Diego, CA 92130-6934
Phone (858) 610-0893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102735 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dien Sun, DDS, Inc. | Pediatric Dentistry | Current | Accepting new patients |
| Children'S Hospital Los Angeles Medical Group, Inc. | Current | Accepting new patients |
Locations
3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
50 Alessandro Pl
Ste 200
Pasadena, CA 91105
Phone (626) 696-1234
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.
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
-
- Pediatric Dentistry
- Pasadena, CA
- NPI 1023879467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705708800000",
"number": "1437689486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2729 WESTSHIRE DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900681929",
"telephone_number": "858-610-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90027",
"telephone_number": "323-660-2450"
}
],
"practiceLocations": [
{
"address_1": "5287 Birch Hill Pt",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921306934",
"country_code": "US",
"telephone_number": "858-610-0893",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5287 Birch Hill Pt",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921306934",
"country_code": "US",
"telephone_number": "858-610-0893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUN",
"first_name": "DIEN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-13",
"last_updated": "2024-01-20",
"certification_date": "2024-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "102735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.