Elisa Ling Kuo, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

50153 Issued in CA

Practice address

373 9TH St
Suite 401
Oakland, CA 94607-6514

Phone

(510) 834-4640

NPI assigned

May 14, 2007

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

Enrolled in CA

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

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.

• Elisa L Kuo DDS, Inc

  • Dentist
  • Oakland, CA
  • NPI 1669800199
  NPD (past) Authorized official
• Vaughn a. Lee DDS Inc.

  • General Practice Dentistry
  • Oakland, CA
  • NPI 1104161074
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861608358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 9TH ST",
            "address_2": "SUITE 401",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 9TH ST",
            "address_2": "SUITE 401",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076514",
            "telephone_number": "510-834-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "ELISA",
        "middle_name": "LING",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Stembridge Kung, M.S.
• Derrick Li-Wei Kung
• Bhavana Kunisetty
• Janey L Kunkle, M.D.
• Christine ER-Zhen Kuo
• Erwin Kuo
• Karen Yan Kuo
• Sara Sepehrdad Kuo, M.D., M.P.H.
• Rachel Ann Kuperman, M.D.
• Jessica Kur

• Dentist in Oakland, CA
• Providers in Oakland, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.