Individual provider Active NPI

Brian Yo-Ming Kuo, D.D.S.

  • General Practice Dentistry
  • Arcadia, CA
National Provider Identifier
1043578180
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
65039 Issued in CA
Practice address
118 Las Tunas Dr
D
Arcadia, CA 91007-8584
Phone
(626) 278-8669
NPI assigned
Apr 26, 2012
Last updated
Dec 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401413979 VA
General Practice Dentistry 1223G0001X 65039 CA Primary

Addresses

Primary practice location

118 Las Tunas Dr
D
Arcadia, CA 91007-8584

Mailing address

1613 Chelsea Rd
308
San Marino, CA 91108-2419
Phone (626) 278-8669

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

LicenseStateTypeSpecialty
0401413979VAMDGeneral Practice Dentistry
65039CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Y. Kuo DDS Corp 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, 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": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1043578180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 CHELSEA RD",
            "address_2": "308",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082419",
            "telephone_number": "626-278-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 LAS TUNAS DR",
            "address_2": "D",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078584",
            "telephone_number": "626-278-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "BRIAN",
        "middle_name": "YO-MING",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413979",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "65039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.