Active NPI
Karly Suk Polka, DDS
- Dentist
- Spencerport, NY
National Provider Identifier
1508155383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 056297
- Practice address
- 709 Cedar Cir
Spencerport, NY 14559-1646 - Phone
- (585) 410-3795
- NPI assigned
- Apr 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 056297 | NY | Primary |
Addresses
Primary practice location
709 Cedar Cir
Spencerport, NY 14559-1646
Mailing address
709 Cedar Cir
Spencerport, NY 14559-1646
Phone (585) 410-3795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056297 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1508155383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 CEDAR CIR",
"city": "SPENCERPORT",
"state": "NY",
"postal_code": "145591646",
"telephone_number": "585-410-3795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 CEDAR CIR",
"city": "SPENCERPORT",
"state": "NY",
"postal_code": "145591646",
"telephone_number": "585-410-3795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLKA",
"first_name": "KARLY",
"middle_name": "SUK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-01",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "056297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spencerport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.