Ashley Koh

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61033510 Issued in WA

Practice address

1519 132ND St SE Ste G
Everett, WA 98208-7203

Phone

(425) 616-3729

NPI assigned

Apr 1, 2019

Sex

Female

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

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.

• Neighborcare Health

  dba Neighborcare Health at Georgetown

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1306916556
  NPD (past)
• Washington Dental Corporation, PC

  dba Dentists of Mill Creek

  • Dentist
  • Everett, WA
  • NPI 1750885471
  NPD (past)

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1851853774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 GRENADA LN",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944043803",
            "telephone_number": "650-867-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 132ND ST SE STE G",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982087203",
            "telephone_number": "425-616-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOH",
        "first_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "61033510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Lynne Kockler, PT
• Kavyashri Kodlipet Jagadeesh, MD
• Ashley Marie Koeffler
• Taylor May Koenig
• Michael K Koerner, M.D.
• Jeremy Hoopheng Koh, MA, AAC
• Jerry S Koh, MD
• Simi Kohli, M.D., M.SC
• Vincent M. Koike, D.O.
• Kritika Koirala, ARNP

• General Practice Dentistry in Everett, WA
• Providers in Everett, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.