NPIMap

Organization Active NPI

Kenny Jang, DDS

  • Dentist
  • Fullerton, CA
National Provider Identifier
1184964033
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46613 Issued in CA
Legal business name
KENNY JANG, DDS
Practice address
1657 W Orangethorpe Ave
Fullerton, CA 92833-4535
Phone
(714) 626-0288
Fax
(714) 626-0298
NPI assigned
Feb 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Dr. Kenny Y Jang, DDSNPI 1467572230
Title
Ceo/Owner
Phone
(714) 626-0288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 46613 CA Primary

Addresses

Primary practice location

1657 W Orangethorpe Ave
Fullerton, CA 92833-4535

Mailing address

1657 W Orangethorpe Ave
Fullerton, CA 92833-4535
Phone (714) 626-0288

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1184964033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334535",
            "telephone_number": "714-626-0288",
            "fax_number": "714-626-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334535",
            "telephone_number": "714-626-0288",
            "fax_number": "714-626-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY JANG, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "KENNY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "714-626-0288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.