Sookyung Jun, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

60421965 Issued in WA

Practice address

1500 145TH PL SE
Bellevue, WA 98007-5516

Phone

(425) 321-0833

NPI assigned

Jul 1, 2008

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

Locations

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.

• Soo K Jun DMD PLLC

  • Pediatric Dentistry
  • Federal Way, WA
  • NPI 1295612620
  NPD Authorized official

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1922260793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 145TH PL SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075516",
            "telephone_number": "425-321-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 145TH PL SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075516",
            "telephone_number": "425-321-0833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 S 320th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980035364",
            "country_code": "US",
            "telephone_number": "253-262-6589",
            "fax_number": "360-507-8114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUN",
        "first_name": "SOOKYUNG",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "60421965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven M Juergens, MD
• Tina Jul
• Julie Hsieh, MD, PLLC
• Julie Martin Ames, Psy.D., P.S.
• Jun Sun DDS
• Philip K Jung, DDS
• Purita Juntaphant, ND
• Toniann M. Jurgensen, THERAPIST
• Kelly Jutras, DPT
• Nadia Kabbani, M.S., OTR/L

• Pediatric Dentistry in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.