WOO JONG KO (NPI# 1669452108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669452108 |
Entity Type | Individual |
Full Name | WOO JONG KO |
Credential | DDS |
Practice Address |
1998 N Motel Blvd Las Cruces NM 88007-4100 |
Mailing Address |
Po Box 370 Hatch NM 87937-0370 |
Practice Telephone | 5755415941 |
Practice Fax Number | 5755415048 |
Mailing Telephone | 5752673280 |
Mailing Fax Number | 5752671747 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2019-07-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
DD5099 | NM | Dental Providers |
N | 1223G0001X |
Dentist Specialization: General Practice |
54058 | CA | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
12150 New York Ranch Rd, Jackson, CA 956429407 | 2092572460 | 2092572464 |
Street Address |
1998 N MOTEL BLVD |
City | LAS CRUCES |
State | NM |
Zip Code | 88007-4100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871088419 | Gustavo Vasquez Sida | Dentist | 1998 N Motel Blvd, Las Cruces, NM 88007 | 2018-06-26 |
1922515675 | Maria I Crespin | Nurse Practitioner | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2018-01-03 |
1992217665 | Michael A Jaurequi | Nurse Practitioner | 1998 N Motel Blvd, Las Cruces, NM 88007 | 2017-11-02 |
1366960601 | Diana Jeremias | Social Worker | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2017-09-07 |
1255855086 | Gabrielle Nichole Allsup | Nurse Practitioner | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2017-08-02 |
1689120735 | Yvette Enriquez | Social Worker | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2016-08-29 |
1700238870 | Liliana Salazar | Marriage & Family Therapist | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2016-07-12 |
1881045508 | Ruben Femat | Dentist | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2016-06-23 |
1154770972 | Taylor Wilkinson | Dentist | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2016-06-13 |
1598112435 | Christine Hernandez | Registered Nurse | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2016-05-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952814196 | Debra G Hanus | Registered Nurse | 12325 Fort Mcrae Rd., Las Cruces, NM 88007 | 2017-11-09 |
1730698309 | Equine Assisted Programs of Southern New Mexico LLC | Clinic/Center | 190 Providence Road, Las Cruces, NM 88007 | 2017-09-26 |
1952841926 | Kimberly Danielle Diaz | Marriage & Family Therapist | 471 Alvillar Rd, Las Cruces, NM 88007 | 2017-02-24 |
1326420951 | Juan Mendoza | Psychologist | 715 E. Idaho, Las Cruces, NM 88007 | 2015-06-19 |
1801206974 | Sonnie Michelle Sanchez | Case Manager/Care Coordinator | 2211 N. Valley Dr., Las Cruces, NM 88007 | 2014-04-29 |
1932528171 | Carrie A Jones | Case Manager/Care Coordinator | 2211 N. Valley, Las Cruces, NM 88007 | 2014-04-15 |
1881015402 | Tony Trevino | Case Manager/Care Coordinator | 660 Copa Lane, Las Cruces, NM 88007 | 2013-12-27 |
1982025508 | Gilbert L Barela | Case Manager/Care Coordinator | 440 Helens Place, Las Cruces, NM 88007 | 2013-12-27 |
1497176010 | Heather Barela | Case Manager/Care Coordinator | 305 Windchime Lane, Las Cruces, NM 88007 | 2013-12-27 |
1962833194 | Sylvia Trevino | Case Manager/Care Coordinator | 660 Copa Ln., Las Cruces, NM 88007 | 2013-12-13 |
Find all providers in zip 88007 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760090880 | Elizabeth Hays | Dentist | 1405 S Valley Dr Ste 300, Las Cruces, NM 88005-3132 | 2020-07-15 |
1114418704 | Narek Akopyan | Dentist | 3340 Rinconada Blvd Ste 2, Las Cruces, NM 88011-7194 | 2018-05-20 |
1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
1508397555 | Debbie L Ashida, Dds PC | Dentist | 1001 E Boutz Rd, Las Cruces, NM 88001-4207 | 2017-03-22 |
1841602455 | Howard M. Achen, Dds | Dentist | 225 E Idaho Ave Ste 14, Las Cruces, NM 88005-3241 | 2014-05-30 |
1972936235 | Children's Dental At Sonoma | Dentist | 3340 Rinconada Blvd, Suite 2b, Las Cruces, NM 88011 | 2013-08-09 |
1144513508 | Familia Dental Las Cruces LLC | Dentist | 1025 El Paseo Rd, Las Cruces, NM 88001-6029 | 2011-05-18 |
1841517505 | Falon Dean Waisath | Dentist | 530 N Telshor Blvd Ste A, Las Cruces, NM 88011-8243 | 2010-04-21 |
1750531091 | Ortiz Family Dental, LLC | Dentist | 2141 Hammerand Ct Ste B, Las Cruces, NM 88011-8250 | 2008-09-23 |
1366690216 | Affordable Dental LLC | Dentist | 1423 Don Roser Dr., Las Cruces, NM 88011-4515 | 2008-09-04 |
Find all providers in LAS CRUCES |
City | LAS CRUCES |
Zip Code | 88007 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.