SREYNOCH HUN DMD
NPI 1700638335
Dentist - General Practice in Poplar Grove, IL

Q: What is Sreynoch Hun's NPI number?

The NPI number for Sreynoch Hun is 1700638335. It was assigned to this individual provider in the NPPES registry on April 5, 2024. The provider is also known as Srey Noch Lach.

Q: What is Sreynoch Hun's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sreynoch Hun was last updated on August 15, 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.

Active since April 05, 2024PECOS Enrolled

13510 JULIE DR, POPLAR GROVE, IL 61065(815) 765-4003 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2024, Apr 5, 2024 (2 updates tracked since 2024).

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About Sreynoch Hun Dmd NPPES

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

SREYNOCH HUN DMD (NPI 1700638335) is an individual general practice provider in Poplar Grove, Illinois, licensed in Illinois (019035073) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700638335

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSREYNOCH HUNCredential: DMD

Location Address13510 JULIE DRPoplar Grove, IL 61065-7829

Mailing Address2201 S Highland Ave Apt 4jLombard, IL 60148-5347 · (323) 283-2055

Phone(815) 765-4003

Sole ProprietorYes

Enumeration DateApril 5, 2024

Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration

NPPES CertifiedAugust 15, 2024

✔ NPI 1700638335 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 IL · 019035073

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

13510 JULIE DR, Poplar Grove, IL 61065

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Other Names 1

Former Name (1)Srey Noch Lach

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sreynoch Hun 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.

Medicare Billing Reassignment

Medicare enrollment records show Sreynoch Hun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Friend Family Health Center Inc

70 mi

Federally Qualified Health Center (FQHC)

5635 S PULASKI RD
Chicago, IL 60629

Reassigned Medicare billing, Illinois enrollment
132 clinicians in this Medicare group

NPI 1457525792 (773) 702-0660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61065 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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 2

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

DAVID TARTAGLIA DDS

Dentist (General Practice)

13510 JULIE DR
POPLAR GROVE, IL 61065

Boone County (815) 765-9900

RIVERSIDE DENTAL INVESTMENTS LLC

Clinic/Center

13510 JULIE DR
POPLAR GROVE, IL 61065

Boone County (815) 765-9900

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 Sreynoch Hun's NPI number?

The NPI number for Sreynoch Hun is 1700638335. It was assigned to this individual provider in the NPPES registry on April 5, 2024. The provider is also known as Srey Noch Lach.

Where is Sreynoch Hun located?

Sreynoch Hun practices at 13510 Julie Dr, Poplar Grove, IL 61065. The listed phone number is (815) 765-4003.

What is Sreynoch Hun's specialty?

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

Is Sreynoch Hun enrolled in Medicare?

Yes. Sreynoch Hun is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sreynoch Hun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sreynoch Hun reassigns Medicare benefits to Friend Family Health Center Inc (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sreynoch Hun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sreynoch Hun accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Sreynoch Hun 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 Sreynoch Hun was last updated on August 15, 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.