Clayton Sulek, D.D. DENTURIST

Primary specialty

DenturistTaxonomy code 122400000X

License

00000395 Issued in WA

Practice address

1329 King St.
Bellingham, WA 98229

Phone

(360) 647-0395

Fax

(360) 594-4387

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Bellingham Denture Clinic, Inc

  • Denturist
  • Bellingham, WA
  • NPI 1972839488
  NPD Authorized official
• Carson Denture Center PS

  • Denturist
  • Bellingham, WA
  • NPI 1780540666
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1265589980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 KING ST.",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98229",
            "telephone_number": "360-647-0395",
            "fax_number": "360-594-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 KING ST.",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98229",
            "telephone_number": "360-647-0395",
            "fax_number": "360-594-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEK",
        "first_name": "CLAYTON",
        "credential": "D.D. DENTURIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "395",
            "primary": false
        },
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "00000395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "20-1780598",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5047287",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawood Subhani, MD
• Amador P. Subong, M.D.
• Eric Neil Subong, M.D.
• Virgil Raymond Suess Jr., MFT
• Sung Hee Suh, M.D.
• Ashley Lynne Suleski, LMT
• Monica Lee Sulier, RD
• Brooke Sullateskee-Rincon, LH
• Sullivan Health LLC
• Amanda Marie Sullivan

• Denturist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Denturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.