Chanoan Sumonthee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS045129 Issued in PA

Practice address

400 W Allegheny Ave Ste B1
Philadelphia, PA 19133-3614

Phone

(215) 291-9200

NPI assigned

Apr 11, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Elite Dental LLC

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1124543368
  NPD (past)

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1639964489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17362 SW 32ND LN",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295590",
            "telephone_number": "954-556-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ALLEGHENY AVE STE B1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333614",
            "telephone_number": "215-291-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMONTHEE",
        "first_name": "CHANOAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS045129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Care Medical Supply
• Summit Health and Wellness LLC
• Amy E. W. Sumner, OD
• Justen Sumner, MD, MPH
• David Sumo, CEO
• Kelsey Sumple
• Gwendolyn Sumter-Davis
• Sun Dental & Orthodontics PA. Inc.
• Sun Up to Sun Down HHC
• Benjamin Chih-an Sun, M.D., M.P.P

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.