Alexander Ko, DMD, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE60743293 Issued in WA

Practice address

12826 SE 40TH LN Ste 100
Bellevue, WA 98006-5266

Phone

(425) 877-1423

NPI assigned

Jul 26, 2011

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

Enrolled in WA

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 and National Provider Directory roles.

• Chen-Chen PLLC

  dba Valley Implants & Periodontics

  • Periodontics
  • Renton, WA
  • NPI 1568815330
  NPD (past)
• M. Ko and a. Ko, PLLC

  dba Dr. Michelle Ko, DDS MS

  • Periodontics
  • Bellevue, WA
  • NPI 1275298937
  NPD (past)

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1841578762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12826 SE 40TH LN STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065266",
            "telephone_number": "425-877-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 SE 40TH LN STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065266",
            "telephone_number": "425-877-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-26",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE60743293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Gow Knudsen, A.R.N.P.
• Amy Knutson, OTR/L
• John William Knutson, MD
• Martin Eugene Knutson, LMHC
• Natasha Knutson
• Chris Ko, DDS
• Jadie Ko, ND
• Jenny Ko
• Ka Yan Ko, R.D.H
• Katherine Amanda Ko, ARNP

• Periodontics in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.