NPIMap

Organization Active NPI

Kulyk Dental Corporation

  • General Practice Dentistry
  • Novato, CA
National Provider Identifier
1609161652
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58594 Issued in CA
Legal business name
KULYK DENTAL CORPORATION
Practice address
1744 Novato Blvd Ste 110
Novato, CA 94947-3092
Phone
(925) 457-1810
NPI assigned
Jun 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Dr. Andriy Kulyk, DDSNPI 1528392206
Title
President
Phone
(925) 457-1810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 58594 CA Primary

Addresses

Primary practice location

1744 Novato Blvd Ste 110
Novato, CA 94947-3092

Mailing address

1450 Creekside Dr Apt 61
Walnut Creek, CA 94596-5535
Phone (925) 935-1898

National Provider Directory

National Provider Directory

Locations

1744 Novato Blvd
Ste 110
Novato, CA 94947
Phone (925) 457-1810

Practitioners & affiliated clinicians

Practitioners 2

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": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1609161652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CREEKSIDE DR APT 61",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965535",
            "telephone_number": "925-935-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 NOVATO BLVD STE 110",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473092",
            "telephone_number": "925-457-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULYK DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "KULYK",
        "authorized_official_first_name": "ANDRIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-457-1810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.