Min Jung Sur

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40659 Issued in TX

Practice address

101 Seagraves Rd
Brownfield, TX 79316-5447

Phone

(806) 636-5555

NPI assigned

Jun 24, 2024

Last updated

Jun 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brownfield Dental

  • Dentist
  • Brownfield, TX
  • NPI 1316326994
  NPD (past)

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1619711629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10911 NORWICH AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242164",
            "telephone_number": "720-534-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SEAGRAVES RD",
            "city": "BROWNFIELD",
            "state": "TX",
            "postal_code": "793165447",
            "telephone_number": "806-636-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUR",
        "first_name": "MIN JUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Ann Shurtleff, CRT RCP
• Caitlin Sims, D.C.
• South Plains Public Health District
• South Plains Public Health District
• Stratford Hospital District (Brownfield Rehabilitation and Care Center)
• Tahoka Isd
• Dennis Duane Tedford, MD
• Terry County Dental, LLC (Terry County Dental)
• Terry Memorial Hospital District (Brownfield Regional Medical Center)
• Terry Memorial Hospital District (BRMC Physical Therapy)

• General Practice Dentistry in Brownfield, TX
• Providers in Brownfield, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.