DR. TIMOTHY KOOK DDS
NPI 1467093419
Dentist in South Pasadena, CA

Q: What is Timothy Kook's NPI number?

The NPI number for Timothy Kook is 1467093419. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Q: What is Timothy Kook'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 Timothy Kook was last updated on January 28, 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 October 01, 2019PECOS Enrolled

813 FAIR OAKS AVE, SOUTH PASADENA, CA 91030(925) 451-5649 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2020, Oct 1, 2019 (2 updates tracked since 2019).

On this page

About Dr. Timothy Kook Dds NPPES

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

DR. TIMOTHY KOOK DDS (NPI 1467093419) is an individual dentist in South Pasadena, California, licensed in California (104316) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of New York University College Of Dentistry (2019).

NPPES Registry Identity

NPI1467093419

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. TIMOTHY KOOKCredential: DDS

Location Address813 FAIR OAKS AVESouth Pasadena, CA 91030-2605

Mailing Address173 N Marengo Ave Apt 204Pasadena, CA 91101-4520 · (925) 451-5649

Phone(925) 451-5649

Sole ProprietorNo

Medical School CMSNew York University College Of DentistryGraduated 2019

Enumeration DateOctober 1, 2019

Last NPPES UpdateJanuary 28, 20202 updates tracked since enumeration

✔ NPI 1467093419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 104316

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.

813 FAIR OAKS AVE, South Pasadena, CA 91030

Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy Kook Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911491378

PECOS Enrollment IDI20251212000543

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. FATIMA SHAFI

Dentist (General Practice)

813 FAIR OAKS AVE
SOUTH PASADENA, CA 91030

Los Angeles County (626) 593-0053

MARTIN GALSTUAN DENTAL CORPORATION

Dentist

813 FAIR OAKS AVE
SOUTH PASADENA, CA 91030

Los Angeles County (626) 593-0053

DR. ARDALAN ESAKHARIAN DMD

Dentist

813 FAIR OAKS AVE
S PASADENA, CA 91030

Los Angeles County (626) 593-0053

DR. PASHA MEHRAZAR DDS

Dentist

813 FAIR OAKS AVE
S PASADENA, CA 91030

Los Angeles County (626) 593-0053

DR. NAYOMI EKANAYAKE DDS

Dentist

813 FAIR OAKS AVE
SOUTH PASADENA, CA 91030

Los Angeles County (626) 593-0053

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 Timothy Kook's NPI number?

The NPI number for Timothy Kook is 1467093419. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Where is Timothy Kook located?

Timothy Kook practices at 813 Fair Oaks Ave, South Pasadena, CA 91030. The listed phone number is (925) 451-5649.

What is Timothy Kook's specialty?

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

Is Timothy Kook enrolled in Medicare?

Yes. Timothy Kook is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Kook accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Paramount and 1 other insurer list Timothy Kook 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 Timothy Kook was last updated on January 28, 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.