Active NPI
Kenny Kai Ho, D.D.S., M.S.
- Pediatric Dentistry
- Kent, WA
National Provider Identifier
1003954496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE00009308
- 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
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 884515 | Other | WA | UNITED CONCORDIA # |
| 5039748 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE00009308 | WA | MD | Pediatric Dentist |
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA #",
"identifier": "884515",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5039748",
"state": "WA"
}
],
"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.