Annabel Sy Koa, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS52877 Issued in CA

Practice address

400 N San Mateo Dr
Suite #2
San Mateo, CA 94401-2418

Phone

(650) 343-0895

Fax

(650) 343-2441

NPI assigned

Oct 1, 2009

Last updated

Apr 9, 2020By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1770817199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N SAN MATEO DR",
            "address_2": "SUITE #2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012418",
            "telephone_number": "650-343-0895",
            "fax_number": "650-343-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N SAN MATEO DR",
            "address_2": "SUITE #2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012418",
            "telephone_number": "650-343-0895",
            "fax_number": "650-343-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOA",
        "first_name": "ANNABEL",
        "middle_name": "SY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "FK1262803",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS52877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Laurin Kline
• Glorianna Tiffany Klyce
• Connie Streifinger Kniveton, M.D.
• Naeem Knox
• Clara Ko
• Derek Kober
• Ashamani Kode, D.M.D
• Daniel Koehler, PSYD
• Rachel Kogan
• Sydney Hope Kohn

• General Practice Dentistry in San Mateo, CA
• Providers in San Mateo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.