Jauhn Koo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D.007360-C1 Issued in AL

Practice address

2201 Taylor Rd
Montgomery, AL 36117-3498

Phone

(334) 271-4600

NPI assigned

Jul 26, 2024

Last updated

Jul 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jauhn.koo.1@14429.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Services Inc

  dba Hayneville Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Hayneville, AL
  • NPI 1598788218
  Medicare reassignment NPD
• Health Services Inc

  dba River Region Health Center

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1205844719
  NPD
• Health Services, Inc.

  dba Living Well Specialty Clinic

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1184284986
  NPD
• East Taylor Dental PC

  • General Practice Dentistry
  • Montgomery, AL
  • NPI 1720181852
  NPD (past)

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1609604917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 TAYLOR RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173498",
            "telephone_number": "334-271-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 TAYLOR RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173498",
            "telephone_number": "334-271-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOO",
        "first_name": "JAUHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D.007360-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Kohn
• Robert Kohn Jr., P.T.
• Katherine Kolacki, PSYD
• John Kolawole, MD
• Sarah Krause Kondrak, CRNP
• Oluwagbenga Koriko, CRNP
• Roxanne Koteles
• David Lawrence Kouri, M.D.
• Jeremy Alan Kovacs, DPT, OCS
• Mary Alesha Kozlowski

• General Practice Dentistry in Montgomery, AL
• Providers in Montgomery, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.