Individual provider Active NPI

Kenny Kai Ho, D.D.S., M.S.

  • Pediatric Dentistry
  • Kent, WA
National Provider Identifier
1003954496
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE00009308 Issued in WA
Practice address
24837 104TH Ave SE Ste 200
Kent, WA 98030-6800
Phone
(253) 850-1234
Fax
(253) 850-8393
NPI assigned
Feb 1, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DE00009308 WA Primary

Addresses

Primary practice location

24837 104TH Ave SE Ste 200
Kent, WA 98030-6800

Mailing address

24837 104TH Ave SE Ste 200
Kent, WA 98030-6800
Phone (253) 850-1234

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
Master of Science

State licenses

LicenseStateTypeSpecialty
DE00009308WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Dental Care Pediatric Dentistry Past Accepting new patients
Reeves D.D.S and Lavalley, D.D.S, a Dental Corporation Dba Karkar, D.D PastSince Jul 25, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003954496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24837 104TH AVE SE STE 200",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980306800",
            "telephone_number": "253-850-1234",
            "fax_number": "253-850-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24837 104TH AVE SE STE 200",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980306800",
            "telephone_number": "253-850-1234",
            "fax_number": "253-850-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "KENNY",
        "middle_name": "KAI",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00009308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.