Active NPI
Andy Seung Hoon Koh, DDS
- Dentist
- Windsor, CT
National Provider Identifier
1992275101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2.012304
- Practice address
- 250 Lamberton Rd
Windsor, CT 06095-2149 - Phone
- (860) 688-3663
- NPI assigned
- Nov 30, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2.012304 | CT | Primary |
Addresses
Primary practice location
250 Lamberton Rd
Windsor, CT 06095-2149
Mailing address
5 Constitution PLZ Apt 916
Hartford, CT 06103-1831
Phone (213) 215-7752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2.012304 | CT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1992275101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CONSTITUTION PLZ APT 916",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061031831",
"telephone_number": "213-215-7752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 LAMBERTON RD",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952149",
"telephone_number": "860-688-3663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOH",
"first_name": "ANDY",
"middle_name": "SEUNG HOON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-30",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "2.012304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.