Raymond Ko D.D.S., Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

37124 Issued in CA

Legal business name

RAYMOND KO D.D.S., INC.

Practice address

1409 N Fresno St
Fresno, CA 93703-3708

Phone

(559) 264-4543

Fax

(559) 264-0226

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Raymond A Ko, D.D.S.

Title

Owner

Phone

(559) 264-4543

Specialties & licenses 2

Addresses

Other names 1

• Family Dental Team Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aye K. Ko, D.D.S.

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1023108107
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1629283262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937033708",
            "telephone_number": "559-264-4543",
            "fax_number": "559-264-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937033708",
            "telephone_number": "559-264-4543",
            "fax_number": "559-264-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND KO D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-264-4543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37124",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "15321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Team",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Dana Raya-Fernandez, PSY.D.
• Yessenia Rayas
• Brenda K Rayburn, RADT-1
• Fiona Raygoza
• Rayjohn Menthealth PC-NP
• Cheyenne Miracle Raymond, ATC
• Eric Raymond, M.D.
• Yesenia Raymundo-Bautista
• Oscar Rayo Salazar
• Ramon Quiem Raypon, M.D.

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.