Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Timothy Kook, DDS

Individual provider Dentist · NPI 1467093419

Dr. Timothy Kook, DDS is a Dentist in South Pasadena, California. Graduated from New York University College of Dentistry in 2019, 7 years ago. Licensed in California.

Years since qualifying
7
Trained at
New York University College of Dentistry
Licensed in
CA
In the registry since
2019
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

813 Fair Oaks Ave
South Pasadena, CA 91030-2605
Phone: (925) 451-5649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 104316 (CA)

Record details

NPI number1467093419
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 1, 2019
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020
Mailing address173 N Marengo Ave Apt 204, Pasadena, CA 91101-4520

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolNEW YORK UNIVERSITY COLLEGE OF DENTISTRY
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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