Individual provider Active NPI

Michelle Mei-Hsuan Ko, DDS., MS.

  • Periodontics
  • Bellevue, WA
National Provider Identifier
1275867855
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DE60631123 Issued in WA
Practice address
12826 SE 40TH LN Ste 100
Bellevue, WA 98006-5266
Phone
(425) 877-1423
NPI assigned
Sep 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL10735 MA
Periodontics 1223P0300X DE60631123 WA Primary

Addresses

Primary practice location

12826 SE 40TH LN Ste 100
Bellevue, WA 98006-5266

Mailing address

12826 SE 40TH LN Ste 100
Bellevue, WA 98006-5266
Phone (206) 474-7394

Other names 1

  • Mei-Hsuan Ko Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260604003872 WA Order and Referring Only - PeriodonticsPractitioner - Periodontics 1850862301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DL10735MAMDDentist
DE60631123WAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
M. Ko and a. Ko, PLLC Periodontics CurrentSince Nov 16, 2021 Accepting new patients

Locations

12826 SE 40th Ln
Ste 102
Bellevue, WA 98006
Phone (425) 643-4884

12826 SE 40th Ln
Ste 100
Bellevue, WA 98006
Phone (425) 449-8851

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1275867855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12826 SE 40TH LN STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065266",
            "telephone_number": "206-474-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 SE 40TH LN STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065266",
            "telephone_number": "425-877-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "MICHELLE",
        "middle_name": "MEI-HSUAN",
        "name_prefix": "Dr.",
        "credential": "DDS., MS.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL10735",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE60631123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEI-HSUAN",
            "last_name": "KO",
            "credential": "DDS. MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.