Stanley S Koh, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D7032572 Issued in CA

Practice address

3301 19TH St Ste B
Bakersfield, CA 93301-3057

Phone

(661) 327-2051

Fax

(661) 633-1730

NPI assigned

Jun 8, 2009

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

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

Yes, effective Jan 7, 2026 through Jan 7, 2028

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 and National Provider Directory roles.

• Stanley S Koh DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Bakersfield, CA
  • NPI 1417945601
  NPD (past) Authorized official

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1801022579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 19TH ST STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013057",
            "telephone_number": "661-327-2051",
            "fax_number": "661-633-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 19TH ST STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013057",
            "telephone_number": "661-327-2051",
            "fax_number": "661-633-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOH",
        "first_name": "STANLEY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "D7032572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaewoong Ko
• Jena Kay Koch
• Tamas Kocsis, MD
• Diane G. Koditek, MFT
• Laurie Lynn Koenig, PSYD
• Kathleen Ann Kohler, NP-C
• Roger A Kohn
• Koinonia Foster Homes Inc
• Komal Desai MD Inc
• Padmalatha Kommineni

• Oral and Maxillofacial Surgery (Dentist) in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.