Organization Active NPI

K-Town Dentist

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1467976985
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
60116 Issued in CA
Legal business name
K-TOWN DENTIST
Practice address
928 S Western Ave Ste 231
Los Angeles, CA 90006-1083
Phone
(213) 214-2875
Fax
(213) 568-3517
NPI assigned
Jul 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Authorized official

Name
Luke Sul, DDS
Title
Owner/Dentist
Phone
(213) 214-2875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 60116 CA Primary

Addresses

Primary practice location

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

Mailing address

928 S Western Ave Ste 231
Los Angeles, CA 90006-1083
Phone (213) 214-2875

National Provider Directory

National Provider Directory

Locations

928 S Western Ave
Ste 231
Los Angeles, CA 90006
Phone (213) 214-2875

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1467976985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 S WESTERN AVE STE 231",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061083",
            "telephone_number": "12132142875",
            "fax_number": "213-568-3517"
        },
        {
            "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": "213-568-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K-TOWN DENTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "SUL",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "213-214-2875",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "60116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.