NPIMap

Organization Active NPI

Koh Dental Corporation

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1003827395
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3712501 Issued in CA
Legal business name
KOH DENTAL CORPORATION
Practice address
2509 W McFadden Ave
Suite E
Santa Ana, CA 92704-2747
Phone
(714) 835-8797
Fax
(714) 835-8797
NPI assigned
Aug 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Philip D Koh Sr., DDSNPI 1700859998
Title
Owner
Phone
(714) 835-8797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3712501 CA Primary
Dentist 122300000X 53415 CA

Addresses

Primary practice location

2509 W McFadden Ave
Suite E
Santa Ana, CA 92704-2747

Mailing address

2509 W McFadden Ave
Suite E
Santa Ana, CA 92704-2747
Phone (714) 835-8797

Other names 1

  • Philip D Koh DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

2509 W McFadden Ave
Ste E
Santa Ana, CA 92704
Phone (714) 835-8797

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003827395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 W MCFADDEN AVE",
            "address_2": "SUITE E",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927042747",
            "telephone_number": "714-835-8797",
            "fax_number": "714-835-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 W MCFADDEN AVE",
            "address_2": "SUITE E",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927042747",
            "telephone_number": "714-835-8797",
            "fax_number": "714-835-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOH",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-835-8797",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "3712501",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philip D Koh DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.