Organization Active NPI

Kang Dentistry PLLC

Doing business as One Dentistry

  • Dental Clinic/Center
  • Lake Zurich, IL
National Provider Identifier
1205405768
Registry record updated Jun 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Jun 20, 2021

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)CodeLicenseStatePrimary
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 Doing business as

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": "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.

Verify at the official NPI Registry.