Lukas John Pytlik, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D55141 Issued in CA

Practice address

4130 La Jolla Village Dr
Suite #204
La Jolla, CA 92037-9121

Phone

(858) 452-8933

Fax

(858) 452-5927

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1760691265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 LA JOLLA VILLAGE DR",
            "address_2": "SUITE #204",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379121",
            "telephone_number": "858-452-8933",
            "fax_number": "858-452-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 LA JOLLA VILLAGE DR",
            "address_2": "SUITE #204",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379121",
            "telephone_number": "858-452-8933",
            "fax_number": "858-452-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYTLIK",
        "first_name": "LUKAS",
        "middle_name": "JOHN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "D55141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D55141",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Puente de Vida
• Andrew Puett, MD, PHD
• Ernest E Pund Jr., MD
• Christina Suzanne Purdy, AGACNP-BC
• Cynthia A. Purviance, M.D.
• Noor Qaddour, DO
• Hamid Qazi, MD
• Isabella Elisabet Qendro
• Zhaoyi Qin, M.D.
• Alicia Quach, OT

• Dentist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.