Active NPI
Kierian B. Kuklok, MD, DDS, Inc.
- Specialist
- San Diego, CA
National Provider Identifier
1174739700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A68737
- Legal business name
- KIERIAN B. KUKLOK, MD, DDS, INC.
- Practice address
- 9912 Carmel Mountain Rd Ste a
San Diego, CA 92129-2808 - Phone
- (858) 484-6418
- Fax
- (858) 484-6318
- NPI assigned
- May 14, 2007
- 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
- Kierian Brian Kuklok, M.D.
- Title
- Owner
- Phone
- (858) 484-6418
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | OMS29 | CA | |
| Specialist | 174400000X | A68737 | CA | Primary |
Addresses
Primary practice location
9912 Carmel Mountain Rd Ste a
San Diego, CA 92129-2808
Mailing address
9912 Carmel Mountain Rd Ste a
San Diego, CA 92129-2808
Phone (858) 484-6418
Other names 1
- Carmel Mountain Oral & Facial Surgery
National Provider Directory
National Provider DirectoryLocations
9912 Carmel Mountain Rd
Ste A
San Diego, CA 92129
Phone (858) 484-6418
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- San Diego, CA
- NPI 1609800671
Oral and Maxillofacial Surgery
-
- Oral & Maxillofacial Surgery (D.M.D.)
- La Jolla, CA
- NPI 1679918288
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1174739700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9912 CARMEL MOUNTAIN RD STE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921292808",
"telephone_number": "858-484-6418",
"fax_number": "858-484-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9912 CARMEL MOUNTAIN RD STE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921292808",
"telephone_number": "858-484-6418",
"fax_number": "858-484-6318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIERIAN B. KUKLOK, MD, DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "KUKLOK",
"authorized_official_first_name": "KIERIAN",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-484-6418",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "OMS29",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A68737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carmel Mountain Oral & Facial Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.