Charles P. Sukurs, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12007903 Issued in IN

Practice address

11479 Lantern Rd
Fishers, IN 46038-2947

Phone

(317) 841-1996

Fax

(317) 841-2819

NPI assigned

Jun 8, 2006

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 names 1

• Dr. Chuck Sukurs Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1326088170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11479 LANTERN RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382947",
            "telephone_number": "317-841-1996",
            "fax_number": "317-841-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11479 LANTERN RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382947",
            "telephone_number": "317-841-1996",
            "fax_number": "317-841-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKURS",
        "first_name": "CHARLES",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12007903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHUCK",
            "last_name": "SUKURS",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles Joseph Stumpf, O.D.
• Rachel Anne Sturdevant
• Kristina Rene Sturwold, MA, CCC, SLP
• Annemarie Suarez-Davis, MSW, LSW
• Kara Subler-Cebulko, MSE, LPC
• Alicia Sullivan, BCBA
• Carl Thomas Sundberg, PH.D
• Devon Sundberg
• Shawnna Sundberg, BCBA
• Lethridge Sundling, OD

• Dentist in Fishers, IN
• Providers in Fishers, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.