NPIMap

Organization Active NPI

Michael Kang, DMD, MMSC, PLLC

  • Dental Clinic/Center
  • Seattle, WA
National Provider Identifier
1013376110
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60567455 Issued in WA
Legal business name
MICHAEL KANG, DMD, MMSC, PLLC
Practice address
509 Olive Way Ste 1633
Seattle, WA 98101-1770
Phone
(206) 624-8313
Fax
(206) 624-8922
NPI assigned
Feb 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Kang, DMD, MMSCNPI 1992054787
Title
Owner
Phone
(206) 624-8313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE60567455 WA Primary

Addresses

Primary practice location

509 Olive Way Ste 1633
Seattle, WA 98101-1770

Mailing address

509 Olive Way Ste 1633
Seattle, WA 98101-1770
Phone (206) 624-8313

Other names 1

  • Endodontics Seattle Doing business as

National Provider Directory

National Provider Directory

Locations

509 Olive Way
Ste 1633
Seattle, WA 98101
Phone (206) 624-8313

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1013376110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1633",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011770",
            "telephone_number": "206-624-8313",
            "fax_number": "206-624-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1633",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011770",
            "telephone_number": "206-624-8313",
            "fax_number": "206-624-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL KANG, DMD, MMSC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-624-8313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MMSC"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60567455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontics Seattle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.