Organization Active NPI

Sun Dental Care PC

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1457744963
Registry record updated Mar 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025980 Issued in IL
Legal business name
SUN DENTAL CARE PC
Practice address
572 Weston Ridge Dr
Suite# 120
Naperville, IL 60563-4109
Phone
(630) 364-2554
Fax
(630) 364-2823
NPI assigned
Mar 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2015

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

Authorized official

Name
Monika Kak
Title
Owner
Phone
(630) 364-2554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019025980 IL Primary

Addresses

Primary practice location

572 Weston Ridge Dr
Suite# 120
Naperville, IL 60563-4109

Mailing address

572 Weston Ridge Dr
Suite# 120
Naperville, IL 60563-4109
Phone (630) 364-2554

Other names 1

  • ATI Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

572 Weston Ridge Dr
Ste 120
Naperville, IL 60563
Phone (630) 364-2554

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": "1425686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425686400000",
    "number": "1457744963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 WESTON RIDGE DR",
            "address_2": "SUITE# 120",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634109",
            "telephone_number": "630-364-2554",
            "fax_number": "630-364-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 WESTON RIDGE DR",
            "address_2": "SUITE# 120",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634109",
            "telephone_number": "630-364-2554",
            "fax_number": "630-364-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-07",
        "last_updated": "2015-03-07",
        "status": "A",
        "authorized_official_last_name": "KAK",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-364-2554"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATI Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 7, 2015; 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.