Individual provider Active NPI

Olha P Kulyk

  • Dentist
  • Walnut Creek, CA
National Provider Identifier
1851693329
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59702 Issued in CA
Practice address
1450 Creekside Dr Apt 61
Walnut Creek, CA 94596-5535
Phone
(925) 935-1898
NPI assigned
Dec 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59702 CA Primary

Addresses

Primary practice location

1450 Creekside Dr Apt 61
Walnut Creek, CA 94596-5535

Mailing address

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

Other names 1

  • Olha P Kopiy Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kulyk Dental Corporation Past Accepting new patients

Organizations & group practices 1

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": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1851693329",
    "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": "1450 CREEKSIDE DR APT 61",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965535",
            "telephone_number": "925-935-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULYK",
        "first_name": "OLHA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLHA",
            "last_name": "KOPIY",
            "middle_name": "P",
            "credential": "D.D.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.