JOHNNY HEEJOON KOO DDS
NPI 1760523930
Dentist - General Practice in Temecula, CA

Active since February 09, 2007PECOS Enrolled
40820 WINCHESTER RD, 1500, TEMECULA, CA 92591(951) 296-6788 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Johnny Heejoon Koo Dds NPPES

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

JOHNNY HEEJOON KOO DDS (NPI 1760523930) is an individual general practice provider in Temecula, California, licensed in California (52073) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760523930
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOHNNY HEEJOON KOOCredential: DDS
Location Address40820 WINCHESTER RD, 1500Temecula, CA 92591-5525
Mailing Address40820 Winchester Rd, Suite 1500Temecula, CA 92591-5525 · (951) 296-6788
Sole ProprietorNo
Enumeration DateFebruary 9, 2007
Last NPPES UpdateMarch 2, 2011
NPI 1760523930 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 · 52073
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.
40820 WINCHESTER RD, Temecula, CA 92591

Accepted 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)

Johnny Heejoon Koo 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 92591 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 6

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

Dentist (General Practice)
40820 WINCHESTER RD, SUITE 1500
TEMECULA, CA 92591
Dentist
40820 WINCHESTER RD, SUITE 1500
TEMECULA, CA 92591
Optometrist
40820 WINCHESTER RD, ST 1360
TEMECULA, CA 92591
Eyewear Supplier
40820 WINCHESTER RD, THE PROMENADE IN TEMECULA STE #1360
TEMECULA, CA 92591
Optometrist
40820 WINCHESTER RD
TEMECULA, CA 92591
Optometrist
40820 WINCHESTER RD, THE PROMENADE IN TEMECULA STE 1360
TEMECULA, CA 92591

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 Johnny Koo's NPI number?

The NPI number for Johnny Koo is 1760523930. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Johnny Koo located?

Johnny Koo practices at 40820 Winchester Rd 1500, Temecula, CA 92591. The listed phone number is (951) 296-6788.

What is Johnny Koo's specialty?

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

Is Johnny Koo enrolled in Medicare?

Yes. Johnny Koo is registered in the Medicare PECOS enrollment system.

What insurance does Johnny Koo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Johnny 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 Johnny Koo was last updated on March 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.