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DR. KATHLEEN JING SUN DDS
NPI 1285296095
Dentist - General Practice in Daytona Beach, FL

Active since July 01, 2019PECOS Enrolled
1659 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32117(386) 274-1450 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2024, Jul 1, 2019 (2 updates tracked since 2019).

About Dr. Kathleen Jing Sun Dds NPPES

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

DR. KATHLEEN JING SUN DDS (NPI 1285296095) is an individual general practice provider in Daytona Beach, Florida, licensed in Florida (DN28754) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285296095
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KATHLEEN JING SUNCredential: DDS
Location Address1659 N CLYDE MORRIS BLVDDaytona Beach, FL 32117
Mailing Address1227 N Atlantic AveNew Smyrna Beach, FL 32169-2203 · (713) 423-9442
Phone(386) 274-1450
Sole ProprietorNo
Enumeration DateJuly 1, 2019
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1285296095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN28754
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 35286 (TX)
1659 N CLYDE MORRIS BLVD, Daytona Beach, FL 32117
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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. Kathleen Jing Sun Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. DENISE TURNER FURBER DMD
Dentist
1659 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32117
Volusia County (386) 274-1450
DR. ALEXANDRA SARGENT DDS
Dentist
1659 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32117
Volusia County (386) 274-1450
DENTAL CREATIONS OF DAYTONA BEACH
Dentist (General Practice)
1659 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32117
Volusia County (386) 274-1450

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 Kathleen Sun's NPI number?

The NPI number for Kathleen Sun is 1285296095. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Where is Kathleen Sun located?

Kathleen Sun practices at 1659 N Clyde Morris Blvd, Daytona Beach, FL 32117. The listed phone number is (386) 274-1450.

What is Kathleen Sun's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kathleen Sun enrolled in Medicare?

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

What insurance does Kathleen Sun accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 19 other insurers list Kathleen Sun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Sun was last updated on June 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.