1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUCHUNYA BUMRUNG
NPI 1306538459
Dentist - General Practice in Las Vegas, NV

Active since May 25, 2023
1001 SHADOW LN, LAS VEGAS, NV 89106(702) 774-2545 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 29, 2026, Jul 23, 2026, May 25, 2023 (3 updates tracked since 2023).

About Suchunya Bumrung NPPES

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

SUCHUNYA BUMRUNG (NPI 1306538459) is an individual general practice provider in Las Vegas, Nevada, licensed in Oregon (D12386) and active in the NPI registry since May 2023. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306538459
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSUCHUNYA BUMRUNG
Location Address1001 SHADOW LNLas Vegas, NV 89106-4124
Mailing Address1710 E Pine StCentral Point, OR 97502-2811
Phone(702) 774-2545
Sole ProprietorNo
Enumeration DateMay 25, 2023
Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1306538459 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 OR · D12386
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1001 SHADOW LN, Las Vegas, NV 89106
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11710 E Pine StCentral Point, OR 97502-2811 · Phone (541) 665-1112
Location 21315 Center DrMedford, OR 97501-7984 · Phone (541) 773-4073

Other Providers at the Same Location NPPES 20

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

HANNAH RENE FERRARA
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 744-2400
HANG DINH
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2545
MR. NICHOLAS FARDOS
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2400
HAMED KHANEH-ANGHA
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2545
AUSTIN R COOK
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2400
SARAH SAEED
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2400
ANDRADA STANCIU
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2400
TYLER JAY PISCIOTTA
Dentist (General Practice)
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 321-9350

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 Suchunya Bumrung's NPI number?

The NPI number for Suchunya Bumrung is 1306538459. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Where is Suchunya Bumrung located?

Suchunya Bumrung practices at 1001 Shadow Ln, Las Vegas, NV 89106. The listed phone number is (702) 774-2545.

What is Suchunya Bumrung's specialty?

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

When was this NPI record last updated?

The NPPES record for Suchunya Bumrung was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.