Individual provider Active NPI

Kierian Brian Kuklok, M.D., D.D.S.

  • Specialist
  • San Diego, CA
National Provider Identifier
1609800671
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A68737 Issued in CA
Practice address
9912 Carmel Mountain Rd Ste a
San Diego, CA 92129-2808
Phone
(858) 484-6418
Fax
(858) 484-6318
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X OMS29 CA
Specialist 174400000X A68737 CA Primary

Addresses

Primary practice location

9912 Carmel Mountain Rd Ste a
San Diego, CA 92129-2808

Mailing address

9912 Carmel Mountain Rd Ste a
San Diego, CA 92129-2808
Phone (858) 484-6418

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OMS29CAMDOral and Maxillofacial Surgery (Dentist)
A68737CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Kierian B. Kuklok, MD, DDS, Inc. Oral and Maxillofacial Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kkuklok81228@scrippshlth.medalliesdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609800671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912 CARMEL MOUNTAIN RD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292808",
            "telephone_number": "858-484-6418",
            "fax_number": "858-484-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 CARMEL MOUNTAIN RD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292808",
            "telephone_number": "858-484-6418",
            "fax_number": "858-484-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKLOK",
        "first_name": "KIERIAN",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D., D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "OMS29",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A68737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.