Kejia Julia Sun, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN22594 Issued in FL

Practice address

5122 Dr Phillips Blvd
Orlando, FL 32819-3312

Phone

(407) 434-8344

NPI assigned

Jun 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sage Dental of Windermere PLLC

  • Dentist
  • Orlando, FL
  • NPI 1063818102
  NPD (past)

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881115178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 SHADY OAKS DR",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346772776",
            "telephone_number": "813-451-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 DR PHILLIPS BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328193312",
            "telephone_number": "407-434-8344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4441 Hoffner Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328122331",
            "country_code": "US",
            "telephone_number": "407-278-6192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "KEJIA",
        "middle_name": "JULIA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun Health and Wellness, Inc
• Sun State Physicians Services, LLC
• Dinon Sun, DO
• Han Sun, RD
• Jingxin Sun, MD
• Kevin Sun, M.D.
• Yuheng Sun, MD
• Sunapee Dialysis LLC
• Sunbelt Medical Supply & Oxygen, Inc.
• Suncoast Hand Clinic LLC

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.