Individual provider Active NPI

Joshua Ching Sun, M.D.

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1780715813
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M8367 Issued in TX
Practice address
5315 Ross Ave
Dallas, TX 75206-7418
Phone
(214) 826-2151
Fax
(214) 420-0397
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M8367 TX Primary

Addresses

Primary practice location

5315 Ross Ave
Dallas, TX 75206-7418

Mailing address

5315 Ross Ave
Dallas, TX 75206-7418
Phone (214) 826-2151

Other identifiers 2

IdentifierTypeStateIssuer
177703901MedicaidTX
8F8011OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060202000935 TX Practitioner - Pediatric Medicine 6800787201 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald N Skufca DO PA CurrentSince Aug 1, 2010 Accepting new patients
Texas Tech University Health Sciences Center Odessa Pediatrics Past Accepting new patients

Locations

5315 Ross Ave
Dallas, TX 75206
Phone (214) 253-2264

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1780715813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 ROSS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067418",
            "telephone_number": "214-826-2151",
            "fax_number": "214-420-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 ROSS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067418",
            "telephone_number": "214-826-2151",
            "fax_number": "214-420-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "JOSHUA",
        "middle_name": "CHING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M8367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177703901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F8011",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.