Karen Koo DDS Dental Corp.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

52071 Issued in CA

Legal business name

KAREN KOO DDS DENTAL CORP.

Doing business as

Brea Ranch Dentistry

Practice address

936 E Imperial Hwy
Brea, CA 92821-5612

Phone

(714) 990-4911

Fax

(714) 990-5883

NPI assigned

Jul 30, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Karen Koo, D.D.S.NPI 1225233125

Title

President

Phone

(714) 990-4911

Specialties & licenses 1

Addresses

Other names 1

• Brea Ranch Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Koo, D.D.S.

  • General Practice Dentistry
  • Palm Springs, CA
  • NPI 1225233125
  NPD (past) Authorized official

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1083056204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215612",
            "telephone_number": "714-990-4911",
            "fax_number": "714-990-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215612",
            "telephone_number": "714-990-4911",
            "fax_number": "714-990-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN KOO DDS DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-990-4911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "52071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brea Ranch Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ae Rah Kang, NP
• Aeri Kang, M.D.
• Bo Young Kang, DDS
• Samuel C Kaplan, DDS
• Kristina Karalexis, BCBA
• Nicole Alicia Karr, DMD
• Kasama Psychological Services Inc
• Nooshin Katebzaheh, D.D.S., M.S.
• Leonie B Kawaguchi, COTA
• Jennifer K Kawase, MD

• Dental Clinic/Center in Brea, CA
• Providers in Brea, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.