DR. PEY-RU KAO IX
NPI 1639362502
Dentist - General Practice in Santa Rosa, CA

Q: What is Pey-ru Kao's NPI number?

The NPI number for Pey-ru Kao is 1639362502. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Q: What is Pey-ru Kao's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Pey-ru Kao was last updated on August 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 August 23, 2007

1240 FARMERS LN, SANTA ROSA, CA 95405(707) 542-5200(707) 579-3207 Get Directions Write a Review

NPPES record last updated: August 23, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Pey-ru Kao Ix NPPES

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

DR. PEY-RU KAO IX (NPI 1639362502) is an individual general practice provider in Santa Rosa, California, licensed in California (55711) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1639362502

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PEY-RU KAO IX

Location Address1240 FARMERS LNSanta Rosa, CA 95405-6707

Mailing Address2105 Kawana Springs Rd, Unit 6105Santa Rosa, CA 95404-6355 · (800) 417-4444 · Fax (714) 571-3560

Phone(707) 542-5200

Fax(707) 579-3207

Sole ProprietorNo

Enumeration DateAugust 23, 2007

✔ NPI 1639362502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 55711

Definition

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.

1240 FARMERS LN, Santa Rosa, CA 95405

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Other Identifiers 1

MedicaidD55711CA

Other Providers at the Same Location NPPES 12

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

BAHAREH RAHMATTAN

Dentist