Organization Active NPI

Kao N. Vang, D.M.D. a Professional Corporation

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1225228091
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46148 Issued in CA
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

Updated by the provider on May 12, 2021

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
157871712MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.