Active NPI
Chuanwen Sun, D.M.D., P.a.
Doing business as Kitt Creek Family Dentistry
- Dentist
- Durham, NC
National Provider Identifier
1730343625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8426
- Legal business name
- CHUANWEN SUN, D.M.D., P.A.
- Doing business as
- Kitt Creek Family Dentistry
- Practice address
- 5322 NC Highway 55 Ste 104
Durham, NC 27713-7816 - Phone
- (919) 259-9505
- NPI assigned
- Jul 10, 2008
- Last updated
- Jul 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elaine F Marshall
- Title
- Secretary of State, North Carolina
- Phone
- (919) 807-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8426 | NC | Primary |
Addresses
Primary practice location
5322 NC Highway 55 Ste 104
Durham, NC 27713-7816
Mailing address
5322 NC Highway 55 Ste 104
Durham, NC 27713-7816
Other names 1
- Kitt Creek Family Dentistry
National Provider Directory
National Provider DirectoryLocations
5322 NC Highway 55
Ste 104
Durham, NC 27713
Phone (919) 259-9505
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Sanford, NC
- NPI 1295930998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215648000000",
"number": "1730343625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5322 NC HIGHWAY 55 STE 104",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5322 NC HIGHWAY 55 STE 104",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137816",
"telephone_number": "919-259-9505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHUANWEN SUN, D.M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "ELAINE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "SECRETARY OF STATE, NORTH CAROLINA",
"authorized_official_telephone_number": "919-807-2000"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kitt Creek Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.