Kevin Ko, a Professional Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KEVIN KO, A PROFESSIONAL DENTAL CORPORATION

Practice address

3190 Old Tunnel Rd
Lafayette, CA 94549-4185

Phone

(925) 934-0192

Fax

(925) 448-3833

NPI assigned

Apr 5, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin Ko, DDSNPI 1316160575

Title

Ceo

Phone

(925) 934-0192

Specialties & licenses 1

Addresses

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Kinghang Ko, D.D.S.

  • General Practice Dentistry
  • Lafayette, CA
  • NPI 1316160575
  NPD Authorized official

Locations

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1992557524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 OLD TUNNEL RD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494185",
            "telephone_number": "925-934-0192",
            "fax_number": "925-448-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 OLD TUNNEL RD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494185",
            "telephone_number": "925-934-0192",
            "fax_number": "925-448-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN KO, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-934-0192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marria Grace Kee
• Keith R. Gronbach, D.D.S., Inc.
• Caitlyn Marie Kelly-Kilgore, MS
• Kenneth M. Caldwell, MD, a Medical Corporation
• Kimberly Dawn Kerlin, M.A., LMFT
• Aimee Keyashian, MD
• William Barry Kievning, PHYSICAL THERAPIST
• John Hyun-Suk Kim, D.D.S.
• Katie Kim, DDS
• Yeunjoo Kim

• All providers in Lafayette, CA
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.