Active NPI
Kang Dentistry PLLC
Doing business as One Dentistry
- Dental Clinic/Center
- Lake Zurich, IL
National Provider Identifier
1205405768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- KANG DENTISTRY PLLC
- Doing business as
- One Dentistry
- Practice address
- 1015 S Rand Rd
Lake Zurich, IL 60047-2911 - Phone
- (551) 795-0990
- NPI assigned
- Jun 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tae Ho Kang, DMD
- Title
- Manager
- Phone
- (551) 795-0990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1015 S Rand Rd
Lake Zurich, IL 60047-2911
Mailing address
2550 Waterview Dr Unit 244
Northbrook, IL 60062-6361
Phone (551) 795-0990
Other names 1
- One Dentistry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Mount Pleasant, WI
- NPI 1255711693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624147200000",
"number": "1205405768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 WATERVIEW DR UNIT 244",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600626361",
"telephone_number": "551-795-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 S RAND RD",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600472911",
"telephone_number": "551-795-0990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANG DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-20",
"last_updated": "2021-06-20",
"certification_date": "2021-06-20",
"status": "A",
"authorized_official_last_name": "KANG",
"authorized_official_first_name": "TAE",
"authorized_official_middle_name": "HO",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "551-795-0990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "One Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Zurich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.