Active NPI
Aleksey Fuks, DDS
- General Practice Dentistry
- West Hollywood, CA
National Provider Identifier
1154409001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 42547
- Practice address
- 8205 Santa Monica Blvd
Suite 12
West Hollywood, CA 90046-5967 - Phone
- (323) 650-1001
- Fax
- (323) 650-1633
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 42547 | CA | Primary |
Addresses
Primary practice location
8205 Santa Monica Blvd
Suite 12
West Hollywood, CA 90046-5967
Mailing address
8205 Santa Monica Blvd
Suite 12
West Hollywood, CA 90046-5967
Phone (323) 650-1001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G94070 | Medicaid | CA | |
| G89900 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42547 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1154409001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8205 SANTA MONICA BLVD",
"address_2": "SUITE 12",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900465967",
"telephone_number": "323-650-1001",
"fax_number": "323-650-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8205 SANTA MONICA BLVD",
"address_2": "SUITE 12",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900465967",
"telephone_number": "323-650-1001",
"fax_number": "323-650-1633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUKS",
"first_name": "ALEKSEY",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "42547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G94070",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G89900",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.