Organization Active NPI

Ronald M Ko, DMD, P.C.

  • Dentist
  • Olympia, WA
National Provider Identifier
1710459409
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RONALD M KO, DMD, P.C.
Practice address
1540 Cooper Point Rd SW Ste 450
Olympia, WA 98502-1033
Phone
(360) 357-9919
NPI assigned
Dec 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Authorized official

Name
Ronald M Ko, DMD
Title
Owner
Phone
(360) 357-9919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1540 Cooper Point Rd SW Ste 450
Olympia, WA 98502-1033

Mailing address

1540 Cooper Point Rd SW Ste 450
Olympia, WA 98502-1033
Phone (360) 357-9919

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1710459409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 COOPER POINT RD SW STE 450",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021033",
            "telephone_number": "360-357-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 COOPER POINT RD SW STE 450",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021033",
            "telephone_number": "360-357-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD M KO, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-357-9919",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.