DR. CHUN-XIAO SUN (NPI# 1023332350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023332350 |
| Entity Type | Individual |
| Full Name | DR. CHUN-XIAO SUN |
| Credential | DMD,MS,MSD,PHD |
| Practice Address |
8501 Candelaria Rd Ne Ste D3 Albuquerque NM 87112-1032 |
| Mailing Address |
12258 Mountain Haze Rd Ne Albuquerque NM 87122-1276 |
| Practice Telephone | 5052932334 |
| Practice Fax Number | 5052932747 |
| Mailing Telephone | 9097920564 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DD4212 | NM | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
24695 | TX | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
59183 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1023332350 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10151 Montgomery Blvd Ne Ste C, Albuquerque, NM 871113670 | 5052751662 | |
| 10250 Cottonwood Park Nw Ste B, Albuquerque, NM 871147019 | 5058900858 | 5058901402 |
| 8521 Golf Course Rd Nw Ste 116, Albuquerque, NM 871144549 | 5058976453 |
| Street Address |
8501 CANDELARIA RD NE STE D3 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316455017 | Pino Periodontics, LLC | Dentist | 7007 Wyoming Blvd Ne Ste D1, Albuquerque, NM 87109-3981 | 2018-01-16 |
| 1407140361 | Kevin Charles Harrison | Dentist | 10151 Montgomery Blvd Ne Ste C, Albuquerque, NM 87111-3670 | 2011-06-07 |
| 1124287206 | Redemption | Dentist | 4550 Eubank N.e., Suite 207, Albuquerque, NM 87111-2565 | 2008-06-04 |
| 1871681700 | Albuquerque Implant & Periodontal Consultants. LLC | Dentist | 10425 Montgomery Pkwy Ne, Albuquerque, NM 87111-3864 | 2006-10-10 |
| 1306931035 | Henry D Espinosa | Dentist | 10409 Montgomery Pkwy Ne #203, Albuquerque, NM 87111 | 2006-10-04 |
| 1356366975 | Mark A. Ferrari | Dentist | 10250 Cottonwood Park Nw Ste B, Albuquerque, NM 87114-7019 | 2006-07-13 |
| 1346408358 | Joseph Hampton Bowers | Dentist | 4550 Eubank Blvd Ne, Suite 207, Albuquerque, NM 87111-3479 | 2008-05-27 |
| 1033250667 | Keigm L Crook | Dentist | 6800 Montgomery Blvd Ne, Suite L, Albuquerque, NM 87109-1405 | 2007-02-08 |
| 1942306725 | Petra I Mayer | Dentist | 7520 Montgomery Blvd Ne, Suite D6, Albuquerque, NM 87109 | 2006-09-16 |
| 1336256544 | James Douglas Hardekopf | Dentist | 8400 Osuna Ne, Suite 1-a, Albuquerque, NM 87111-2068 | 2006-08-24 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
Please comment or provide details below to improve the information on DR. CHUN-XIAO SUN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.