Active NPI
Sukut Dental, Inc.
- General Practice Dentistry
- Costa Mesa, CA
National Provider Identifier
1093990251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23270
- Legal business name
- SUKUT DENTAL, INC.
- Practice address
- 2900 Bristol St
Suite C-102
Costa Mesa, CA 92626-5981 - Phone
- (714) 540-6852
- Fax
- (714) 540-8066
- NPI assigned
- Jan 7, 2008
- Last updated
- Jul 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karly Lyn Sukut-Neppl, DDS
- Title
- Partner
- Phone
- (714) 540-6852
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23270 | CA | Primary |
Addresses
Primary practice location
2900 Bristol St
Suite C-102
Costa Mesa, CA 92626-5981
Mailing address
2900 Bristol St
Suite C-102
Costa Mesa, CA 92626-5981
Phone (714) 540-6852
National Provider Directory
National Provider DirectoryLocations
2900 Bristol St
Ste C102
Costa Mesa, CA 92626
Phone (714) 432-7722
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Costa Mesa, CA
- NPI 1740491109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1093990251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 BRISTOL ST",
"address_2": "SUITE C-102",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265981",
"telephone_number": "714-540-6852",
"fax_number": "714-540-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 BRISTOL ST",
"address_2": "SUITE C-102",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265981",
"telephone_number": "714-540-6852",
"fax_number": "714-540-8066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUKUT DENTAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-07",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "SUKUT-NEPPL",
"authorized_official_first_name": "KARLY",
"authorized_official_middle_name": "LYN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "714-540-6852",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "23270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.