Ky Dental Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KY DENTAL PROFESSIONAL CORPORATION

Practice address

302 E Carson St Ste 100
Carson, CA 90745-8507

Phone

(559) 393-1929

NPI assigned

Dec 5, 2025

Last updated

Dec 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Verock Ky, DDSNPI 1568584555

Title

President

Phone

(559) 393-1929

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Verock Ky, DDS

  • General Practice Dentistry
  • Carson, CA
  • NPI 1568584555
  NPD Authorized official

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1447113519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934430994",
            "telephone_number": "559-393-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E CARSON ST STE 100",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907458507",
            "telephone_number": "559-393-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KY DENTAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "KY",
        "authorized_official_first_name": "VEROCK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-393-1929",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline L Kogan, NBC-HWC
• Namie Kong, DMD
• Ethan M Kreiswirth, MA, ATC
• Kristen Lee OD, a Professional Corporation
• Hong Kang Ku, O.D.
• Verock Ky, DDS
• La Sleep Med Center
• Jenifer B. Labrador, DDS
• Sheila Mae Lachica, PA-C
• Anne E. Lafever, LMFT

• Dental Clinic/Center in Carson, CA
• Providers in Carson, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.