Active NPI
John E Kang DDS
- Dental Clinic/Center
- Annandale, VA
National Provider Identifier
1013785724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- JOHN E KANG DDS
- Practice address
- 7002 Little River Tpke Ste E
Annandale, VA 22003-3200 - Phone
- (703) 333-3016
- Fax
- (703) 333-3018
- NPI assigned
- Dec 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eul-Mo Kang, DDS
- Title
- President
- Phone
- (703) 333-3016
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
7002 Little River Tpke Ste E
Annandale, VA 22003-3200
Mailing address
7002 Little River Tpke Ste E
Annandale, VA 22003-3200
Phone (703) 333-3016
Other names 1
- Eul-Mo Kang DDS
National Provider Directory
National Provider DirectoryLocations
7002 Little River Tpke
Ste E
Annandale, VA 22003
Phone (703) 333-3016
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Annandale, VA
- NPI 1003053984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702425600000",
"number": "1013785724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7002 LITTLE RIVER TPKE STE E",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033200",
"telephone_number": "703-333-3016",
"fax_number": "703-333-3018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7002 LITTLE RIVER TPKE STE E",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033200",
"telephone_number": "703-333-3016",
"fax_number": "703-333-3018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN E KANG DDS",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-13",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A",
"authorized_official_last_name": "KANG",
"authorized_official_first_name": "EUL-MO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-333-3016",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eul-Mo Kang DDS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.