Stephanie Kang, DMD, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STEPHANIE KANG, DMD, PLLC

Practice address

21005 44TH Ave W Ste 103
Mountlake Terrace, WA 98043-3584

Phone

(425) 616-2331

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Authorized official

Name

Stephanie Kang, DMDNPI 1548504277

Title

Dentist

Phone

(617) 997-8520

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stephanie Kang, D.M.D

  • General Practice Dentistry
  • Mountlake Terrace, WA
  • NPI 1548504277
  NPD Authorized official

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1154022317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21005 44TH AVE W STE 103",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980433584",
            "telephone_number": "425-616-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21005 44TH AVE W STE 103",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980433584",
            "telephone_number": "425-616-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE KANG, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-997-8520",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Spence
• Sprout Birth Center & Natural Health, PLLC
• Sprout Birth Center & Natural Health, PLLC
• Alexandria St. Claire, ND
• Madison Stefanson
• Kyle Stewart
• Lydia Grace Stout, OTR/L, MSOT
• Helen Denise Stovall
• Gabrielle Maya Strachan Schwiebert, MSW, LICSW
• Stroud Occupational Medicine PLLC

• Dental Clinic/Center in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.