NPIMap

Organization Active NPI

Kang Enterprises LLC

  • Massage Therapist
  • Woburn, MA
National Provider Identifier
1124345202
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
KANG ENTERPRISES LLC
Practice address
446 Main St
Woburn, MA 01801-4235
Phone
(781) 932-3500
NPI assigned
Apr 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Tae Kang
Title
Owner
Phone
(781) 932-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA Primary

Addresses

Primary practice location

446 Main St
Woburn, MA 01801-4235

Mailing address

446 Main St
Woburn, MA 01801-4235
Phone (781) 932-3500

Other names 1

  • Elements Therapeutic Massage Woburn Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elements Therapeutic Massage Tewksbury2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

446 Main St
Woburn, MA 01801
Phone (781) 932-3500

Practitioners & affiliated clinicians

Practitioners 3

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": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1124345202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 MAIN ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014235",
            "telephone_number": "781-932-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 MAIN ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014235",
            "telephone_number": "781-932-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANG ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "TAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-932-3500"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elements Therapeutic Massage Woburn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.