Jahyun Koo DDS PS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JAHYUN KOO DDS PS

Practice address

5425 California Ave SW
Seattle, WA 98136-1512

Phone

(206) 935-0929

NPI assigned

Aug 2, 2017

Last updated

Aug 2, 2017By 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

Jahyun KooNPI 1578869657

Title

Owner Dentist

Phone

(951) 743-3299

Specialties & licenses 1

Addresses

Other names 1

• Clear Smile Dentistry Other name

Practitioners 2

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.

• Jahyun Koo, D.D.S

  • Dentist
  • Seattle, WA
  • NPI 1578869657
  NPD (past) Authorized official
• Albert Minh Hien Lee, DDS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1538378740
  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1598289373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361512",
            "telephone_number": "206-935-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAHYUN KOO DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "JAHYUN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "951-743-3299"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Smile Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Grace I Jahava
• Benjamin J. Jahn, LMP
• Paula Jahn, MS, RD
• Tiffany Jahn
• Sara Lucille Jahnke, PTA
• Iswariya Jaiganesh
• Salvador Jaime Casas, MD
• Arizbeth Rebeca Jaime Hernandez, PT
• Jose Alejandro Jaime, PHARMD
• Kenneth Jaimes, LMFTA

• Dental Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.