Active NPI
Aye K. Ko, D.D.S.
- General Practice Dentistry
- Fresno, CA
National Provider Identifier
1023108107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37124
- Practice address
- 1409 N Fresno St
Fresno, CA 93703-3708 - Phone
- (559) 264-4543
- Fax
- (559) 264-0226
- NPI assigned
- Oct 13, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37124 | CA | Primary |
Addresses
Primary practice location
1409 N Fresno St
Fresno, CA 93703-3708
Mailing address
1409 N Fresno St
Fresno, CA 93703-3708
Phone (559) 264-4543
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G98007-01 | Other | CA | HEALTHY FAMILIES |
| 1310258 | Other | UNITED CONCORDIA | |
| G91796-01 | Other | CA | DENTI-CAL |
Other names 1
- Dr. Raymond A.K. Ko
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37124 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raymond Ko D.D.S., Inc. | 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.
-
- Dentist
- Fresno, CA
- NPI 1629283262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023108107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937033708",
"telephone_number": "559-264-4543",
"fax_number": "559-264-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937033708",
"telephone_number": "559-264-4543",
"fax_number": "559-264-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "AYE",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "37124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY FAMILIES",
"identifier": "G98007-01",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1310258",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL",
"identifier": "G91796-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RAYMOND",
"last_name": "KO",
"middle_name": "A.K.",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.