Sungjoon T Koo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33121 Issued in TX

Practice address

1870 N Stonebridge Dr # 110
McKinney, TX 75071-7443

Phone

(214) 592-0692

NPI assigned

Jan 15, 2015

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• North Texas Dental Surgery PLLC

  • Dental Clinic/Center
  • McKinney, TX
  • NPI 1740972314
  NPD
• NTDS Grapevine

  • Periodontics
  • McKinney, TX
  • NPI 1922790591
  NPD

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1780073627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 N STONEBRIDGE DR # 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717443",
            "telephone_number": "214-592-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 N STONEBRIDGE DR # 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717443",
            "telephone_number": "214-592-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5949 Dallas Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750937812",
            "country_code": "US",
            "telephone_number": "214-592-0692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOO",
        "first_name": "SUNGJOON",
        "middle_name": "T",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-15",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andra Kofahl, M.D.
• Leeza Kolev
• Snehal Kolhe, M.D.
• Anuradha Kompella, M.D.
• Monica Konrad, CNM
• Kyron Jon Kooken, CCC-SLP
• Kimberly Ann Kopenhaver, LMFT
• Christopher Marion Kordic, D.C.
• Tania Louise Korman, RN
• Muna Koro, DDS, MS

• General Practice Dentistry in McKinney, TX
• Providers in McKinney, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.