Irene Ko, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H6145 Issued in OR

Practice address

7017 SW Nyberg St
Tualatin, OR 97062-6243

Phone

(503) 612-8736

NPI assigned

Nov 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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 and National Provider Directory roles.

• Tualatin Modern Dentistry,PC

  • General Practice Dentistry
  • Tualatin, OR
  • NPI 1437499852
  NPD (past)

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1376972059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 SW 170TH AVE",
            "address_2": "APT 1107",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 SW NYBERG ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970626243",
            "telephone_number": "503-612-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "IRENE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H6145",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH60253012",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "HI",
            "license": "DH1701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L. Klobucnik, MD
• Dorothy Nell Knapp, PH.D.
• Lori Knapp
• Susan C Knight-Allen, LCSW
• Zachary James Knight, PA-C
• Rachel Kohn, D.C.
• Sommer Tiffany Korth, PMHNP-BC
• Melissa M Kounine, D.O.
• Alexis Kremer, PT, DPT
• Susan Y Kubota, MD

• Dental Hygienist in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.