Karen Koo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52071 Issued in CA

Practice address

160 N Luring Dr
Suite F
Palm Springs, CA 92262-6840

Phone

(760) 325-2503

NPI assigned

Jun 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

State licenses

Practice roles

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.

• Karen Koo DDS Dental Corp.

  dba Brea Ranch Dentistry

  • Dental Clinic/Center
  • Brea, CA
  • NPI 1083056204
  NPD (past) Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225233125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8479 SUNSHINE LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925087117",
            "telephone_number": "951-780-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N LURING DR",
            "address_2": "SUITE F",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626840",
            "telephone_number": "760-325-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOO",
        "first_name": "KAREN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Edward Kluess, M.D.
• Richard D Ko, DDS
• Toru Kodama, L.A.C.
• Kimberly Kolibas
• Darren Kong
• Peter David Kopelevich, M.D.
• Marcelo H Koppel, M.D.
• Vanessa Koppenhaver
• Diana Koro
• Anna Kosmalska, DO

• General Practice Dentistry in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• General Practice Dentistry in California

• 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.

Verify at the official NPI Registry.