Luis R Kong, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

45721 Issued in CA

Practice address

341 Westlake Ctr Ste 203
Daly City, CA 94015-1445

Phone

(650) 755-0800

NPI assigned

Jun 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1194922583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 WESTLAKE CTR STE 203",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151445",
            "telephone_number": "650-755-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WESTLAKE CTR STE 203",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151445",
            "telephone_number": "650-755-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "LUIS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Ko, NP
• Nora Ko
• Nino Kobakhidze
• Christina Kong
• Cindy Kong, O.D.
• Alexander Kosoff
• Kosta a. Koutoulas, OD Inc
• Kosta A. Koutoulas, O.D.
• Kay Jiraporn Galang Kovitprakornkul, DPT
• KPC Global Medical Center of San Mateo County LLC

• Dentist in Daly City, CA
• Providers in Daly City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.