Individual provider Active NPI

Dawn Dawoon Sul, DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1811617541
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
107938 Issued in CA
Practice address
928 S Western Ave Ste 231
Los Angeles, CA 90006-1083
Phone
(213) 214-2875
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 107938 CA Primary

Addresses

Primary practice location

928 S Western Ave Ste 231
Los Angeles, CA 90006-1083

Mailing address

555 N Spring St Apt 492
Los Angeles, CA 90012-4664

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

LicenseStateTypeSpecialty
107938CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
K-Town Dentist CurrentSince Sep 4, 2022 Accepting new patients

Locations

928 S Western Ave
Ste 231
Los Angeles, CA 90006
Phone (213) 214-2875

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.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1811617541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N SPRING ST APT 492",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 S WESTERN AVE STE 231",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061083",
            "telephone_number": "213-214-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUL",
        "first_name": "DAWN",
        "middle_name": "DAWOON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.