Individual provider Active NPI

Anita May Sung, D.D.S.

  • Dentist
  • Bowie, MD
National Provider Identifier
1598820102
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10740 Issued in MD
Practice address
1522 Pointer Ridge Place
Suite E
Bowie, MD 20716
Phone
(301) 249-1102
Fax
(301) 249-3258
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN5318 DC
Dentist 122300000X 10740 MD Primary

Addresses

Primary practice location

1522 Pointer Ridge Place
Suite E
Bowie, MD 20716

Mailing address

11911 Parklawn Drive
Suite 204
Rockville, MD 20852
Phone (410) 535-1990

Other practice location 1

208 South Crain Highway
Glen Burnie, MD 21061-3530
Phone (410) 553-0651

Other practice location 2

500 Landing Lane
Elkton, MD 21921-6704
Phone (410) 996-5816

Other practice location 3

500 Landing Lane
Elkton, MD 21921-6704
Phone (410) 996-5816

Other practice location 4

208 South Crain Highway
Glen Burnie, MD 21061-3530
Phone (410) 553-0651

Other identifiers 2

IdentifierTypeStateIssuer
097787700OtherDCDC ACS
544135981MedicaidMD

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
DEN5318DCMDDentist
10740MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
PRP Dental LLC CurrentSince Jan 21, 2022 Accepting new patients
Marsha Plater and Associates PastSince Sep 1, 2020 Accepting new patients

Locations

1522 Pointer Ridge Pl
Ste E
Bowie, MD 20716
Phone (301) 249-1102

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1598820102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 PARKLAWN DRIVE",
            "address_2": "SUITE 204",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "410-535-1990",
            "fax_number": "410-535-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 POINTER RIDGE PLACE",
            "address_2": "SUITE E",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716",
            "telephone_number": "301-249-1102",
            "fax_number": "301-249-3258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 South Crain Highway",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210613530",
            "country_code": "US",
            "telephone_number": "410-553-0651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Landing Lane",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216704",
            "country_code": "US",
            "telephone_number": "410-996-5816",
            "fax_number": "410-996-5526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Landing Lane",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216704",
            "country_code": "US",
            "telephone_number": "410-996-5816",
            "fax_number": "410-996-5526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 South Crain Highway",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210613530",
            "country_code": "US",
            "telephone_number": "410-553-0651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNG",
        "first_name": "ANITA",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN5318",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "10740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC ACS",
            "identifier": "097787700",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "544135981",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.