Active NPI
Kuo Tong Sun, DMD
- Periodontics
- San Francisco, CA
National Provider Identifier
1942318167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 36012
- Practice address
- 2494 Mission St
San Francisco, CA 94110-2415 - Phone
- (415) 821-1200
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 36012 | CA | Primary |
Addresses
Primary practice location
2494 Mission St
San Francisco, CA 94110-2415
Mailing address
555 W Benjamin Holt Dr
Building B
Stockton, CA 95207-3839
Other names 1
- Kuo Tong Sun
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36012 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Cox Dental Corporation | Past | Accepting new patients | |
| Roytman Dental Corporation | Past | Accepting new patients |
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.
-
dba Gentle Dental Community San Francisco
- General Practice Dentistry
- San Francisco, CA
- NPI 1720043961
-
dba Gentle Dental Community San Francisco
- Dentist
- San Francisco, CA
- NPI 1225066269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942318167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 W BENJAMIN HOLT DR",
"address_2": "BUILDING B",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952073839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2494 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102415",
"telephone_number": "415-821-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "KUO TONG",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "36012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KUO TONG",
"last_name": "SUN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.