Active NPI
David Kang, MD, DDS, MS, FACS
- Surgical Oncology Physician
- Dallas, TX
National Provider Identifier
1073601951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- P8484
- Practice address
- 1411 N Beckley Ave
Pavilion III, Suite 152
Dallas, TX 75203-1259 - Phone
- (469) 713-2038
- Fax
- (214) 948-0156
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | P8484 | TX | |
| Surgical Oncology Physician | 2086X0206X | P8484 | TX | Primary |
Addresses
Primary practice location
1411 N Beckley Ave
Pavilion III, Suite 152
Dallas, TX 75203-1259
Mailing address
1411 N Beckley Ave
Pavilion III, Suite 152
Dallas, TX 75203-1259
Phone (469) 713-2038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12200 Park Central Dr
Dallas, TX 75251-2100
Phone (469) 713-2038
Hospital & facility affiliations
- Encompass Home Health of DFW
- Enhabit Home Health
- Medical City Plano
- Methodist Dallas Medical Center
- Carrollton Regional Medical Center
- Bsa Hospital
- Baylor Scott & White Institute for Rehabilitation
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HABFAD/Endpoint/HABFAD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgical Oncology Physician
- Dallas, TX
- NPI 1720445638
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Institute for Rehabilitation
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Amarillo, TX
- NPI 1407191984
-
dba Medical City Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
-
dba Methodist Dallas Medical Center
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
-
- General Acute Care Hospital
- Carrollton, TX
- NPI 1184262800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466899200000",
"number": "1073601951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE",
"address_2": "PAVILION III, SUITE 152",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031259",
"telephone_number": "469-713-2038",
"fax_number": "214-948-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE",
"address_2": "PAVILION III, SUITE 152",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031259",
"telephone_number": "469-713-2038",
"fax_number": "214-948-0156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "DAVID",
"credential": "MD, DDS, MS, FACS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2016-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "TX",
"license": "P8484",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "TX",
"license": "P8484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.