Organization Active NPI

David Sun DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Diamond Bar, CA
National Provider Identifier
1841857539
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DAVID SUN DDS INC
Practice address
724 N Diamond Bar Blvd Ste a
Diamond Bar, CA 91765-1057
Phone
(909) 598-8600
Fax
(626) 202-1274
NPI assigned
May 29, 2019
Last updated
May 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Authorized official

Name
Da Sun, DDS
Title
Owner
Phone
(626) 203-1720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

724 N Diamond Bar Blvd Ste a
Diamond Bar, CA 91765-1057

Mailing address

724 N Diamond Bar Blvd Ste a
Diamond Bar, CA 91765-1057
Phone (909) 598-8600

National Provider Directory

National Provider Directory

Locations

10 E Huntington Dr
Ste D
Arcadia, CA 91006
Phone (626) 821-0169

724 N Diamond Bar Blvd
Ste A
Diamond Bar, CA 91765
Phone (909) 598-8600

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1841857539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 N DIAMOND BAR BLVD STE A",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651057",
            "telephone_number": "909-598-8600",
            "fax_number": "626-202-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 N DIAMOND BAR BLVD STE A",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651057",
            "telephone_number": "909-598-8600",
            "fax_number": "626-202-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SUN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "DA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-203-1720",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.