DR. JAEMIN KO DDS
NPI 1639833544
Dentist in Los Angeles, CA

Q: What is Jaemin Ko's NPI number?

The NPI number for Jaemin Ko is 1639833544. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Q: What is Jaemin Ko'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 Jaemin Ko was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 26, 2021PECOS Enrolled

4650 W SUNSET BLVD # 116, LOS ANGELES, CA 90027(323) 361-2130 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jaemin Ko Dds NPPES

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

DR. JAEMIN KO DDS (NPI 1639833544) is an individual dentist in Los Angeles, California, licensed in California (108467) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639833544

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JAEMIN KOCredential: DDS

Location Address4650 W SUNSET BLVD # 116Los Angeles, CA 90027-6062

Mailing Address4650 W Sunset Blvd # 116Los Angeles, CA 90027-6062 · (323) 361-2130

Phone(323) 361-2130

Sole ProprietorYes

Enumeration DateOctober 26, 2021

Last NPPES UpdateJanuary 25, 2023

NPPES CertifiedJanuary 25, 2023

✔ NPI 1639833544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in CA · 108467✔ Licensed in WA · 61095542

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.

4650 W SUNSET BLVD # 116, Los Angeles, CA 90027

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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. Jaemin Ko Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90027 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 4

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

MELODY KAPLAN

Student in an Organized Health Care Education/Training Program

4650 W SUNSET BLVD # 116
LOS ANGELES, CA 90027

Los Angeles County (323) 660-2450

XUANYU LU DDS

Dentist (Orthodontics and Dentofacial Orthopedics)

4650 W SUNSET BLVD # 116
LOS ANGELES, CA 90027

Los Angeles County (323) 361-2130

SABREEN CHAHAL

Dentist (Pediatric Dentistry)

4650 W SUNSET BLVD # 116
LOS ANGELES, CA 90027

Los Angeles County (323) 361-8508

NICOLE BUI DDS

Student in an Organized Health Care Education/Training Program

4650 W SUNSET BLVD # 116
LOS ANGELES, CA 90027

Los Angeles County (323) 361-2130

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 Jaemin Ko's NPI number?

The NPI number for Jaemin Ko is 1639833544. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Jaemin Ko located?

Jaemin Ko practices at 4650 W Sunset Blvd # 116, Los Angeles, CA 90027. The listed phone number is (323) 361-2130.

What is Jaemin Ko's specialty?

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

Is Jaemin Ko enrolled in Medicare?

Yes. Jaemin Ko is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaemin Ko was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.