Heejoon Yu Sun, D.M.D, M.P.H.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-022278 Issued in IL

Practice address

1315 Macom Dr Ste 201
Naperville, IL 60564-9361

Phone

(630) 978-9005

Fax

(630) 978-9145

NPI assigned

Oct 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Joon Yu Sun Professional name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• White Eagle Family Dentistry

  • General Practice Dentistry
  • Naperville, IL
  • NPI 1407916737
  NPD (past) Authorized official

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1588091763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 MACOM DR STE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649361",
            "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 STE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649361",
            "telephone_number": "630-978-9005",
            "fax_number": "630-978-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "HEEJOON",
        "middle_name": "YU",
        "name_prefix": "Dr.",
        "credential": "D.M.D, M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-022278",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-022278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS NPI # 1407916737",
            "identifier": "NPI # 1407916737",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOON",
            "last_name": "SUN",
            "middle_name": "YU",
            "prefix": "DR.",
            "credential": "D.M.D., M.P.H.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Summit Therapy and Rehabilitation, LLC
• Shannon Summitt
• Sun Dental Care PC
• Christina Terese Sun Oo, LCPC
• Chenxi Sun
• Sunburst Dental P.C
• Nithya Sunder, MD
• Ryan Douglas Sunderman, DPT
• Sunlight Chiropractic PC
• Sunny Smiles LLC

• General Practice Dentistry in Naperville, IL
• Providers in Naperville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.

Verify at the official NPI Registry.