Sun Won, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109566 Issued in CA

Practice address

5190 Western Center Blvd
Haltom City, TX 76137-2144

Phone

(817) 656-1215

NPI assigned

Oct 18, 2023

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

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

Practice roles

Locations

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.

• Abc Family Dental Basswood PLLC

  dba ABC Family Dental

  • General Practice Dentistry
  • Haltom City, TX
  • NPI 1003234238
  NPD

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764460800000",
    "number": "1689456105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 FERMI PL STE 106",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956189411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 WESTERN CENTER BLVD",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761372144",
            "telephone_number": "817-656-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WON",
        "first_name": "SUN",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2025-11-30",
        "certification_date": "2025-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Welborn, MS CCC SLP
• Stacy White, M.S. CCC-SLP
• Raynell Williams-Guy
• Kimberly Williamson, PA-C
• Janis Payne Wilson
• Xpress Provider Service PLLC (Xpress Medical Family Practice & Urgent Care)
• Alex Xu
• Charlotte Youree
• Jordan Danielle Zarek, PHARM.D.

• General Practice Dentistry in Haltom City, TX
• Providers in Haltom City, 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 Nov 30, 2025; 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.