Bogdan Michael Kulikowski, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D6136 Issued in AZ

Practice address

15215 S 48TH Street
Suite #158
Phoenix, AZ 85044-9139

Phone

(480) 598-3006

Fax

(480) 598-1184

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oral Surgery Plus P.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Spokane, WA
  • NPI 1942410436
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003038571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 S 48TH STREET",
            "address_2": "SUITE #158",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449139",
            "telephone_number": "480-598-3006",
            "fax_number": "480-598-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 S 48TH STREET",
            "address_2": "SUITE #158",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449139",
            "telephone_number": "480-598-3006",
            "fax_number": "480-598-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIKOWSKI",
        "first_name": "BOGDAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D6136",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ID",
            "license": "D 3765 OS",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE00006802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rikki Kukkamalla
• Vimala Nadine Kukunoor, M.D.
• Marnie Antoinette Kulbeth, CRNA
• Peggy Antoinette Kulch, MS
• Lauren Kuliga
• Arathi Kulkarni
• Kavita Kulkarni, DDS
• Jennifer Grace Kull, M.D.
• Daniel Kullukian, M.D., SA-C
• Jerry Kulp

• Oral and Maxillofacial Surgery (Dentist) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.