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DR. IAN DOUGLAS SUN DMD
NPI 1043067606
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since May 02, 2024PECOS Enrolled
705 RILEY HOSPITAL DR STE 4205, INDIANAPOLIS, IN 46202(317) 944-9604 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ian Douglas Sun Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IAN DOUGLAS SUN DMD (NPI 1043067606) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043067606
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. IAN DOUGLAS SUNCredential: DMD
Location Address705 RILEY HOSPITAL DR STE 4205Indianapolis, IN 46202-5109
Mailing Address705 Riley Hospital Dr Ste 4205Indianapolis, IN 46202-5109
Phone(317) 944-9604
Sole ProprietorNo
Enumeration DateMay 2, 2024
NPPES CertifiedApril 29, 2024
✔ NPI 1043067606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
705 RILEY HOSPITAL DR STE 4205, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ian Douglas Sun Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLYN MARIE MULLIN
Dentist
705 RILEY HOSPITAL DR STE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604
DR. ALEXANDER DAVID VORIS DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR STE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604
DR. KATELYN MARIE BRAUER DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR STE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604
DAVID HENRY NEAL D.M.D.
Dentist
705 RILEY HOSPITAL DR STE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604
DR. SHIRA ESTHER RUGGS DANCY D.D.S.
Dentist (General Practice)
705 RILEY HOSPITAL DR STE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 948-6255
LAUREN LONG DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR STE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604
LESA M ALLISON D.D.S.
Dentist
705 RILEY HOSPITAL DR STE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604
DR. HANA REED DMD
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR STE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Sun's NPI number?

The NPI number for Ian Sun is 1043067606. It was assigned to this individual provider in the NPPES registry on May 2, 2024.

Where is Ian Sun located?

Ian Sun practices at 705 Riley Hospital Dr Ste 4205, Indianapolis, IN 46202. The listed phone number is (317) 944-9604.

What is Ian Sun's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ian Sun enrolled in Medicare?

Yes. Ian Sun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ian Sun was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.