Active NPI
Kao N. Vang, D.M.D. a Professional Corporation
- General Practice Dentistry
- Fresno, CA
National Provider Identifier
1225228091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46148
- Legal business name
- KAO N. VANG, D.M.D. A PROFESSIONAL CORPORATION
- Practice address
- 4304 E Ashlan Ave
Fresno, CA 93726-2600 - Phone
- (559) 225-9098
- NPI assigned
- Jul 27, 2007
- 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
- Kao Nhiawa Vang, D.M.D
- Title
- Dentist
- Phone
- (559) 225-9098
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46148 | CA | Primary |
Addresses
Primary practice location
4304 E Ashlan Ave
Fresno, CA 93726-2600
Mailing address
4304 E Ashlan Ave
Fresno, CA 93726-2600
Phone (559) 225-9098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157871712 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
4304 E Ashlan Ave
Fresno, CA 93726
Phone (559) 225-9098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620777600000",
"number": "1225228091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4304 E ASHLAN AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937262600",
"telephone_number": "559-225-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4304 E ASHLAN AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937262600",
"telephone_number": "559-225-9098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAO N. VANG, D.M.D. A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-27",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A",
"authorized_official_last_name": "VANG",
"authorized_official_first_name": "KAO",
"authorized_official_middle_name": "NHIAWA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "559-225-9098",
"authorized_official_credential": "D.M.D"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157871712",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.