Active NPI
Kierian Brian Kuklok, M.D., D.D.S.
- Specialist
- San Diego, CA
National Provider Identifier
1609800671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A68737
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OMS29 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| A68737 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Kierian B. Kuklok, MD, DDS, Inc. | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Specialist
- San Diego, CA
- NPI 1174739700
Oral and Maxillofacial Surgery
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
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.