D Koo PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

D KOO PC

Practice address

3900 E Valley Rd Ste 203
Renton, WA 98057-4954

Phone

(425) 264-0044

NPI assigned

Oct 11, 2024

Organization subpart

No

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

Authorized official

Name

Donghyun KooNPI 1366875957

Title

Owner

Phone

(571) 528-7767

Specialties & licenses 1

Addresses

Other names 1

• Epic Dental Doing business as

Locations

Practitioners 2

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

• Donghyun Koo

  • Dentist
  • Seattle, WA
  • NPI 1366875957
  NPD (past) Authorized official
• Kenza Houki, DMD

  • Dentist
  • Renton, WA
  • NPI 1063678027
  NPD

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1093535452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 E VALLEY RD STE 203",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 E VALLEY RD STE 203",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574954",
            "telephone_number": "425-264-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D KOO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "DONGHYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-528-7767"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epic Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tristan Curtis, PHARMD
• CVS Health
• Cynthia Alegre PS
• Patrick John Czaplicki, PA-C
• Justus D Addario, MA, LMHC
• Keri M D'Hondt, MED
• Travis Frederick D'Souza, MD
• Ira Daclan, RN
• Anne M Dahlin, OT
• Dennis R Dahlin, MD

• Dental Clinic/Center in Renton, WA
• Providers in Renton, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.