NPIMap

Organization Active NPI

Stanley S Koh DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Bakersfield, CA
National Provider Identifier
1417945601
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DY32572 Issued in CA
Legal business name
STANLEY S KOH DDS INC
Practice address
3301 19TH St
Suite B
Bakersfield, CA 93301-3066
Phone
(661) 327-2051
Fax
(661) 633-1730
NPI assigned
Oct 11, 2005
Last updated
Aug 22, 2020By the provider in NPPES
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
Stanley S Koh, DDSNPI 1801022579
Title
Oral Maxillofacial Surgeon Presiden
Phone
(661) 327-2051

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DY32572 CA Primary

Addresses

Primary practice location

3301 19TH St
Suite B
Bakersfield, CA 93301-3066

Mailing address

3301 19TH St
Suite B
Bakersfield, CA 93301-3066
Phone (661) 327-2051

National Provider Directory

National Provider Directory

Locations

3301 19th St
Ste B
Bakersfield, CA 93301
Phone (661) 327-2051

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417945601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 19TH ST",
            "address_2": "SUITE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013066",
            "telephone_number": "661-327-2051",
            "fax_number": "661-633-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 19TH ST",
            "address_2": "SUITE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013066",
            "telephone_number": "661-327-2051",
            "fax_number": "661-633-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY S KOH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOH",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ORAL MAXILLOFACIAL SURGEON PRESIDEN",
        "authorized_official_telephone_number": "661-327-2051",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "DY32572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, 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.