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LUKE SUL DDS
NPI 1164727905
Dentist in Los Angeles, CA

Active since January 25, 2011PECOS Enrolled
928 S WESTERN AVE STE 231, LOS ANGELES, CA 90006(213) 214-2875(213) 214-2875 Get Directions Write a Review

NPPES record last updated: June 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luke Sul Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUKE SUL DDS (NPI 1164727905) is an individual dentist in Los Angeles, California, licensed in California (60116) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164727905
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameLUKE SULCredential: DDS
Location Address928 S WESTERN AVE STE 231Los Angeles, CA 90006-1083
Mailing Address22517 Cello DrDiamond Bar, CA 91765-2422
Phone(213) 214-2875
Fax(213) 214-2875
Sole ProprietorNo
Enumeration DateJanuary 25, 2011
Last NPPES UpdateJune 9, 2017
✔ NPI 1164727905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 60116
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
928 S WESTERN AVE STE 231, Los Angeles, CA 90006
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Other Identifiers 1

Other60116CA · Licence Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luke Sul Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

K-TOWN DENTIST
Clinic/Center (Dental)
928 S WESTERN AVE STE 231
LOS ANGELES, CA 90006
Los Angeles County (213) 214-2875
DR. DAWN DAWOON SUL DDS
Dentist
928 S WESTERN AVE STE 231
LOS ANGELES, CA 90006
Los Angeles County (213) 214-2875

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luke Sul's NPI number?

The NPI number for Luke Sul is 1164727905. It was assigned to this individual provider in the NPPES registry on January 25, 2011.

Where is Luke Sul located?

Luke Sul practices at 928 S Western Ave Ste 231, Los Angeles, CA 90006. The listed phone number is (213) 214-2875.

What is Luke Sul's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Luke Sul enrolled in Medicare?

Yes. Luke Sul is registered in the Medicare PECOS enrollment system.

What insurance does Luke Sul accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Luke Sul as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Luke Sul was last updated on June 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.