Organization Active NPI

Sukut Dental, Inc.

  • General Practice Dentistry
  • Costa Mesa, CA
National Provider Identifier
1093990251
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23270 Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. Karly Lyn Sukut-Neppl, DDSNPI 1740491109
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.