NPIMap

Organization Active NPI

Kevin Loo DDS, Ms a Professional Corporation

  • Periodontics
  • La Habra, CA
National Provider Identifier
1376652263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
40371 Issued in CA
Legal business name
KEVIN LOO DDS, MS A PROFESSIONAL CORPORATION
Practice address
1480 S Harbor Blvd
Suite 8
La Habra, CA 90631-7534
Phone
(714) 578-5009
Fax
(714) 578-5097
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kevin Loo, DDSNPI 1730555285
Title
President
Phone
(714) 578-5009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 40371 CA Primary

Addresses

Primary practice location

1480 S Harbor Blvd
Suite 8
La Habra, CA 90631-7534

Mailing address

1480 S Harbor Blvd
Suite 8
La Habra, CA 90631-7534
Phone (714) 578-5009

National Provider Directory

National Provider Directory

Locations

1480 S Harbor Blvd
Ste 8
La Habra, CA 90631
Phone (714) 578-5009

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376652263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD",
            "address_2": "SUITE 8",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317534",
            "telephone_number": "714-578-5009",
            "fax_number": "714-578-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD",
            "address_2": "SUITE 8",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317534",
            "telephone_number": "714-578-5009",
            "fax_number": "714-578-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN LOO DDS, MS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-578-5009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "40371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.