Active NPI
Julia Hyunjoo Kang, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Euless, TX
National Provider Identifier
1174920946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 30527
- Practice address
- 1101 N Main St
Euless, TX 76039 - Phone
- (817) 786-3951
- NPI assigned
- Nov 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 30527 | TX | Primary |
Addresses
Primary practice location
1101 N Main St
Euless, TX 76039
Mailing address
5909 Bassinghall LN
Plano, TX 75093-4724
Phone (857) 636-9678
Other names 1
- Hyun Joo Kang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30527 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1174920946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5909 BASSINGHALL LN",
"city": "PLANO",
"state": "TX",
"postal_code": "750934724",
"telephone_number": "857-636-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N MAIN ST",
"city": "EULESS",
"state": "TX",
"postal_code": "76039",
"telephone_number": "817-786-3951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "JULIA",
"middle_name": "HYUNJOO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-21",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "30527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HYUN",
"last_name": "KANG",
"middle_name": "JOO",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Euless, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.