Organization Active NPI

John E Kang DDS

  • Dental Clinic/Center
  • Annandale, VA
National Provider Identifier
1013785724
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Eul-Mo Kang, DDSNPI 1003053984
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.