JOANNA KOO DDS
NPI 1093323354
Dentist in Riverside, CA

Q: What is Joanna Koo's NPI number?

The NPI number for Joanna Koo is 1093323354. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Q: What is Joanna Koo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Joanna Koo was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 22, 2020

19040 VAN BUREN BLVD STE 111, RIVERSIDE, CA 92508(951) 789-0200 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Joanna Koo Dds NPPES

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

JOANNA KOO DDS (NPI 1093323354) is an individual dentist in Riverside, California, licensed in California (105067) and active in the NPI registry since July 2020. She maintains a secondary practice location in Lake Elsinore.

NPPES Registry Identity

NPI1093323354

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJOANNA KOOCredential: DDS

Location Address19040 VAN BUREN BLVD STE 111Riverside, CA 92508-9160

Mailing Address7630 Canberra WayRiverside, CA 92508-6067

Phone(951) 789-0200

Sole ProprietorYes

Enumeration DateJuly 22, 2020

Last NPPES UpdateJuly 23, 2020

NPPES CertifiedJuly 23, 2020

✔ NPI 1093323354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 105067

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

19040 VAN BUREN BLVD STE 111, Riverside, CA 92508

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Secondary Practice Location 1

Location 131577 Canyon Estates Dr Ste 205Lake Elsinore, CA 92532-0467 · Phone (951) 674-6900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUMIN KANG DDS

Dentist (General Practice)

19040 VAN BUREN BLVD STE 111
RIVERSIDE, CA 92508

Riverside County (951) 789-0200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joanna Koo's NPI number?

The NPI number for Joanna Koo is 1093323354. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Where is Joanna Koo located?

Joanna Koo practices at 19040 Van Buren Blvd Ste 111, Riverside, CA 92508. The listed phone number is (951) 789-0200.

What is Joanna Koo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Joanna Koo accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Joanna Koo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joanna Koo was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.