Active NPI
Jinyu Sun, D.D.S
- Dentist
- Ellicott City, MD
National Provider Identifier
1730635111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16144
- Practice address
- 13232 Hunt RDG
Ellicott City, MD 21042-1153 - Phone
- (410) 491-8686
- NPI assigned
- Aug 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16144 | MD | Primary |
Addresses
Primary practice location
13232 Hunt RDG
Ellicott City, MD 21042-1153
Mailing address
610 Professional Dr
Suite 215
Gaithersburg, MD 20879-3413
Phone (301) 869-8666
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16144 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Oral Diagnosis and Therapeutics, LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Gaithersburg, MD
- NPI 1760654784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1730635111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 PROFESSIONAL DR",
"address_2": "SUITE 215",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793413",
"telephone_number": "301-869-8666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13232 HUNT RDG",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210421153",
"telephone_number": "410-491-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "JINYU",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-26",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "16144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.