Tony Kong Shing Ku, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56642 Issued in CA

Practice address

1055 Coleman Rd
2320
San Jose, CA 95123

Phone

(626) 376-0286

NPI assigned

Dec 5, 2007

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1942483581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 COLEMAN RD",
            "address_2": "2320",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95123",
            "telephone_number": "626-376-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 COLEMAN RD",
            "address_2": "2320",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95123",
            "telephone_number": "626-376-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KU",
        "first_name": "TONY",
        "middle_name": "KONG SHING",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessa Kryst, RBT
• Eric Krzanich
• Lauren Krzywinski
• Kevin Ku, D.O.
• Sarah Ku
• Wen-Tsang Ku, M.D.
• Winnie Huei-Lan Chou Ku
• Yun-Chien Ku, LMFT
• Carl Thaddeus Pangilinan Kua, PT
• Tim Tingkuo Kuan

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.