Luke Sul, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

60116 Issued in CA

Practice address

928 S Western Ave Ste 231
Los Angeles, CA 90006-1083

Phone

(213) 214-2875

Fax

(213) 214-2875

NPI assigned

Jan 25, 2011

Last updated

Jun 9, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

• K-Town Dentist

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1467976985
  Authorized official Same address or phone

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496966400000",
    "number": "1164727905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22517 CELLO DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 S WESTERN AVE STE 231",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061083",
            "telephone_number": "213-214-2875",
            "fax_number": "213-214-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUL",
        "first_name": "LUKE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-25",
        "last_updated": "2017-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "60116",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grigor Sukiassyan
• Aneta Ani Sukiasyan, LCSW
• Lilit Sukiasyan, MSW
• Richard J Sukov, MD
• Dawn Dawoon Sul, DDS
• Rachel Sul
• David Sulam, M.D.
• Omer Suleimanagich, D.D.S.
• Susan Siddig Sulieman, M.D.
• Michael Jay Paulino Sulit

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.