Yun M Kang DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YUN M KANG DDS PLLC

Practice address

10217 19TH Ave SE Ste 203
Everett, WA 98208-4266

Phone

(425) 385-8130

NPI assigned

Jun 16, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Yun Min Kang, DDSNPI 1245510999

Title

Dentist

Phone

(360) 778-9311

Specialties & licenses 1

Addresses

Other names 1

• 19th Ave Dental Doing business as

Locations

Practitioners 2

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

• Yun Min Kang, D.D.S

  • General Practice Dentistry
  • Everett, WA
  • NPI 1245510999
  NPD Authorized official
• Shuichi Yamaguchi, DDS PS

  • Dentist
  • Everett, WA
  • NPI 1790883650
  NPD (past)

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1124703129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10217 19TH AVE SE STE 203",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084266",
            "telephone_number": "425-385-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10217 19TH AVE SE STE 203",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084266",
            "telephone_number": "425-385-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUN M KANG DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "YUN",
        "authorized_official_middle_name": "MIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-778-9311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "19th Ave Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joy Yuan, MD
• Steven Yuasa, PT, DPT
• Albert F.M. Yuen, MD
• Jesse Yuhasz
• Sarah Yuknas
• Ellen Yuncastro, O.D.
• Sharon Barbara Yurs, DPT
• Jessica Christine Zaborowski
• Zagol Seniors Care LLC
• Jean Marie Zahalka, RN

• General Practice Dentistry in Everett, WA
• Providers in Everett, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.