IndividualActive
Shane Koo, DMD
NPI 1790669406 · General Practice Dentistry · Tacoma, WA
Shane Koo, DMD is a General Practice Dentistry provider in Tacoma, WA (NPI 1790669406).
Provider details
- NPI number
- 1790669406
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN30451 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9900 Lincoln St 2nd Floor
Tacoma, WA 98431-0001
Phone: (253) 968-4079
Approximate (ZIP-level) locationGet directions
Mailing address
930 Ross Loop Apt D403
Dupont, WA 98327-9052
Registry dates
- Enumerated
- 2025-08-05
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Frequently asked questions
- What is Shane Koo's NPI number?
- Shane Koo's National Provider Identifier (NPI) is 1790669406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Koo's specialty?
- Shane Koo is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Shane Koo located?
- Shane Koo's practice location on file with NPPES is 9900 Lincoln St 2nd Floor, Tacoma, WA 98431-0001.
- What is Shane Koo's phone number?
- The practice phone number listed in the NPPES registry for Shane Koo is (253) 968-4079.
- Is Shane Koo's NPI active?
- Yes — Shane Koo's NPI (1790669406) is active in the NPPES registry as of the last update on 2025-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.