Active NPI
Kwangseok Ahn, DDS,MS.
- General Practice Dentistry
- Plano, TX
National Provider Identifier
1225357346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25377
- Practice address
- 3420 K Ave
Ste 140
Plano, TX 75074-2333 - Phone
- (734) 747-1804
- NPI assigned
- May 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25377 | TX | Primary |
Addresses
Primary practice location
3420 K Ave
Ste 140
Plano, TX 75074-2333
Mailing address
3103 Bainbridge LN
Frisco, TX 75034-0778
Phone (734) 747-1804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25377 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1225357346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 BAINBRIDGE LN",
"city": "FRISCO",
"state": "TX",
"postal_code": "750340778",
"telephone_number": "734-747-1804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3420 K AVE",
"address_2": "STE 140",
"city": "PLANO",
"state": "TX",
"postal_code": "750742333",
"telephone_number": "734-747-1804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "KWANGSEOK",
"name_prefix": "Dr.",
"credential": "DDS,MS.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-28",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.