JACK H KOUMJIAN DDS
NPI 1073629390
Dentist - Prosthodontics in Palo Alto, CA

Active since August 21, 2006PECOS Enrolled
770 WELCH RD, STE 280, PALO ALTO, CA 94304(650) 347-3426(650) 324-0103 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jack H Koumjian Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK H KOUMJIAN DDS (NPI 1073629390) is an individual prosthodontics provider in Palo Alto, California, licensed in California (327301) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073629390
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameJACK H KOUMJIANCredential: DDS
Location Address770 WELCH RD, STE 280Palo Alto, CA 94304-1513
Mailing Address770 Welch Rd, Ste 280Palo Alto, CA 94304-1513 · (650) 347-3426 · Fax (650) 324-0103
Fax(650) 324-0103
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateDecember 20, 2007
NPI 1073629390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in CA · 327301
Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

770 WELCH RD, Palo Alto, CA 94304

Other Identifiers 2

Medicare PINDS0327301CA
Other1073629390CA · Dentical

Medicare Participation & PECOS Enrollment Status

Jack Koumjian is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 94304 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $106.47
  • Minimum New Patient Price $70.37
  • Maximum New Patient Price $206.04
  • Average New Patient Copayment $26.61
  • Minimum New Patient Copayment $17.59
  • Maximum New Patient Copayment $51.51

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $86.56
  • Minimum Established Patient Price $23.96
  • Maximum Established Patient Price $169.6
  • Average Established Patient Copayment $21.64
  • Minimum Established Patient Copayment $5.99
  • Maximum Established Patient Copayment $42.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
770 WELCH RD, SUITE 380
PALO ATLO, CA 94304
Plastic Surgery
770 WELCH RD, SUITE 400
PALO ALTO, CA 94304
Pediatrics (Pediatric Hematology-Oncology)
770 WELCH RD, SUITE 261
PALO ALTO, CA 94304
Student in an Organized Health Care Education/Training Program
770 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner (Pediatrics)
770 WELCH RD, SUITE 100
PALO ALTO, CA 94304
Student in an Organized Health Care Education/Training Program
770 WELCH RD, DIV OF PLASTIC SURGERY STE 400
PALO ALTO, CA 94304
Nurse Practitioner (Pediatrics)
770 WELCH RD
PALO ALTO, CA 94304
Pediatrics (Adolescent Medicine)
770 WELCH RD, DIVISION OF ADOLESCENT MEDICINE
PALO ALTO, CA 94304
Nurse Practitioner (Pediatrics)
770 WELCH RD, 3RD FLOOR
PALO ALTO, CA 94304
Internal Medicine (Geriatric Medicine)
770 WELCH RD, SUITE # 250
PALO ALTO, CA 94304
Advanced Practice Midwife
770 WELCH RD
PALO ALTO, CA 94304
Clinic/Center
770 WELCH RD
PALO ALTO, CA 94304
Plastic Surgery
770 WELCH RD, SUITE 400
PALO ALTO, CA 94304
Plastic Surgery
770 WELCH RD, SUITE 400 - STANFORD PLASTIC SURGERY
PALO ALTO, CA 94304
Midwife
770 WELCH RD
PALO ALTO, CA 94304
Plastic Surgery
770 WELCH RD, SUITE 400
PALO ALTO, CA 94304
Plastic Surgery (Surgery of the Hand)
770 WELCH RD, SUITE 400
PALO ALTO, CA 94304
Nurse Practitioner
770 WELCH RD, SUITE 100
PALO ALTO, CA 94304
Pediatrics (Pediatric Critical Care Medicine)
770 WELCH RD, SUITE 350
PALO ALTO, CA 94304
Pediatrics
770 WELCH RD
PALO ALTO, CA 94304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073629390, enumerated as an "individual" on August 21, 2006.

The provider is located at 770 WELCH RD STE 280 PALO ALTO, CA 94304 and the phone number is (650) 347-3426.

Dentist with taxonomy code 1223P0700X and a focus in Prosthodontics.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.