Organization Active NPI

Sun on Fire

  • Dentist
  • Flushing, NY
National Provider Identifier
1477737302
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
053023-1 Issued in NY
Legal business name
SUN ON FIRE
Practice address
14715C Roosevelt Ave
Flushing, NY 11354-4757
Phone
(646) 596-5134
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Dr. Rachel L Sun, DMDNPI 1831476076
Title
President
Phone
(646) 596-5134

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 053023-1 NY Primary

Addresses

Primary practice location

14715C Roosevelt Ave
Flushing, NY 11354-4757

Mailing address

147 Roosevelt Ave
Unit 15C
Flushing, NY 11354-4757
Phone (646) 596-5134

National Provider Directory

National Provider Directory

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": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1477737302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 ROOSEVELT AVE",
            "address_2": "UNIT 15C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544757",
            "telephone_number": "646-596-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14715C ROOSEVELT AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544757",
            "telephone_number": "646-596-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN ON FIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-596-5134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "053023-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.