Kunho Roo, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

34803 Issued in TX

Practice address

201 Sparta Rd Ste 201
Belton, TX 76513-1424

Phone

(254) 939-7800

NPI assigned

Aug 11, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 9, 2016 through Aug 9, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Secure Dental II, LLC

  • Dentist
  • Davenport, IA
  • NPI 1902258379
  NPD (past)
• Secure Dental LLC

  • Dentist
  • Peoria, IL
  • NPI 1154607422
  NPD (past)

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1699229294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SPARTA RD STE 201",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765131424",
            "telephone_number": "254-939-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SPARTA RD STE 201",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765131424",
            "telephone_number": "254-939-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROO",
        "first_name": "KUNHO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030885",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKinzee Robinson
• Mykail Robinson
• Virginia Anne Robinson, L.P.C.
• Aleena Rocha
• Brandon Michael Rodriguez, LPC
• Tanya Renee Roper, LCSW, LCDC
• David Jadiri Ross, PHARM.D,
• Dianne B Rowton, LPC, LMFT
• Briana Renee Ruiz, PHARMD
• Faith Rusch

• Dentist in Belton, TX
• Providers in Belton, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.