Active NPI
Minji Hailey Kang
- Dental Hygienist
- Cypress, CA
National Provider Identifier
1003645839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 36186
- Practice address
- 10521 Valley View St
Cypress, CA 90630-4832 - Phone
- (714) 723-2035
- NPI assigned
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 36186 | CA | Primary |
Addresses
Primary practice location
10521 Valley View St
Cypress, CA 90630-4832
Mailing address
10521 Valley View St
Cypress, CA 90630-4832
Phone (714) 723-2035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1003645839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10521 VALLEY VIEW ST",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906304832",
"telephone_number": "714-723-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10521 VALLEY VIEW ST",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906304832",
"telephone_number": "714-723-2035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "MINJI",
"middle_name": "HAILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "36186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.