NPIMap

Organization Active NPI

Sun Park DDS PC

  • Dental Clinic/Center
  • Herndon, VA
National Provider Identifier
1699041897
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401412056 Issued in VA
Legal business name
SUN PARK DDS PC
Practice address
102 Elden St Ste 17
Herndon, VA 20170-4827
Phone
(703) 485-9098
Fax
(703) 485-8098
NPI assigned
Apr 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Dr. Sun ParkNPI 1316224207
Title
President
Phone
(571) 485-9098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401412056 VA Primary

Addresses

Primary practice location

102 Elden St Ste 17
Herndon, VA 20170-4827

Mailing address

102 Elden St Ste 17
Herndon, VA 20170-4827
Phone (703) 485-9098

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1699041897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ELDEN ST STE 17",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704827",
            "telephone_number": "703-485-9098",
            "fax_number": "703-485-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ELDEN ST STE 17",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704827",
            "telephone_number": "703-485-9098",
            "fax_number": "703-485-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN PARK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-485-9098",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401412056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.