Karl Supal, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS103819 Issued in CA

Practice address

99 3Rd St
Los Altos, CA 94022-2729

Phone

(650) 949-3376

NPI assigned

Aug 8, 2019

Last updated

Jan 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1275188930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 1ST ST UNIT 307",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222689",
            "telephone_number": "586-929-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 3RD ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222729",
            "telephone_number": "650-949-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPAL",
        "first_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS103819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven H Strong, PHD
• Pamela Sturner, LMFT
• Aifeng Su, ACUPUNCTURIST
• Hardat Sukhdeo, MD
• Situ Sun
• Support-Counseling Inc.
• Susan C, Lodenquai, O.D. Inc (Altos Family Optometry)
• Karen Jill Suskiewicz, MD
• Sarah I Sussen
• Trenna L Sutcliffe, M D

• General Practice Dentistry in Los Altos, CA
• Providers in Los Altos, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.