Individual provider Active NPI

Millie Bun, DC, QME

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1720010325
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26018 Issued in CA
Practice address
4617 Freeport Blvd
Suite C
Sacramento, CA 95822-2015
Phone
(916) 731-4484
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26018 CA Primary

Addresses

Primary practice location

4617 Freeport Blvd
Suite C
Sacramento, CA 95822-2015

Mailing address

4617 Freeport Blvd
Suite C
Sacramento, CA 95822-2015
Phone (916) 731-4484

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
26018CAMDClinical Social Worker
DC26018CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720010325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 FREEPORT BLVD",
            "address_2": "SUITE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958222015",
            "telephone_number": "916-731-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 FREEPORT BLVD",
            "address_2": "SUITE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958222015",
            "telephone_number": "916-731-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUN",
        "first_name": "MILLIE",
        "name_prefix": "Dr.",
        "credential": "DC, QME",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.