Kevin Loo

Primary specialty

DentistTaxonomy code 122300000X

License

40371 Issued in CA

Practice address

1480 S Harbor Blvd Ste 8
La Habra, CA 90631-7567

Phone

(714) 578-5009

Fax

(714) 578-5097

NPI assigned

Aug 19, 2015

Last updated

Aug 19, 2015By 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 CA

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kevin Loo DDS, Ms a Professional Corporation

  • Periodontics
  • La Habra, CA
  • NPI 1376652263
  NPD (past) Authorized official

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1730555285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD STE 8",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317567",
            "telephone_number": "714-578-5009",
            "fax_number": "714-578-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD STE 8",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317567",
            "telephone_number": "714-578-5009",
            "fax_number": "714-578-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOO",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Llamas
• Robert Patrick Lo, PHARM.D
• Ijah Lockett
• Phoenix Lockett
• Longs Drug Stores California LLC (CVS Pharmacy #09831)
• Fabiana Elizabeth Lopapa-Jones, FNP-BC
• Samantha Lopez
• Solomon Ivan Lopez, PHARMD
• Kristine A. Lukens, DC
• Lumair Dentistry

• Dentist in La Habra, CA
• Providers in La Habra, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.