Andy Seung Hoon Koh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2020012730 Issued in MO

Practice address

605 Old Ballas Rd Ste 118
Creve Coeur, MO 63141-7070

Phone

(314) 948-8213

NPI assigned

Nov 30, 2018

Last updated

Oct 6, 2026By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "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": "605 OLD BALLAS RD STE 118",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417070",
            "telephone_number": "314-948-8213"
        }
    ],
    "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": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2020012730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tinna King, M.D.
• King's Medical Imaging Creve Coeur, LLC (Advanced Imaging Creve Coeur)
• Violet Klenov, M.D.
• Lindsey Sumner Knapp, ATC
• Britney Kneibert
• Alexandra Kohlschreiber, OTR/L
• Anna Konopelkin, DC
• Micayla Koonce
• Erica Korte, PHARMD
• William Chris Kostman, M.D.

• Dentist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.