Yun Min Kang, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE 60228356 Issued in WA

Practice address

10217 19TH Ave SE Ste 203
Everett, WA 98208-4266

Phone

(425) 385-8130

NPI assigned

Aug 26, 2011

Last updated

Feb 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yun M Kang DDS PLLC

  dba 19th Ave Dental

  • General Practice Dentistry
  • Everett, WA
  • NPI 1124703129
  NPD Authorized official
• Senan Ahmed DDS PLLC

  dba Sunrise Dental of Bellingham

  • General Practice Dentistry
  • Bellingham, WA
  • NPI 1619312550
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1245510999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10217 19TH AVE SE STE 203",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084266",
            "telephone_number": "425-385-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10217 19TH AVE SE STE 203",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084266",
            "telephone_number": "425-385-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "YUN",
        "middle_name": "MIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-26",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60228356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Carmen Kanakia, MS, CCC-SLP
• Tsuzumi Kanaoka, MD
• Neelima Kandula, M.B.B.S
• Laura May Spahn Kaneakua X, MHT LLL
• Alex H Kang, D.D.S., M.S.D.
• Shivani S Kant, D.D.S
• Madison Elizabeth Kantowski, MSW
• Srivani Kanumuri, M.D.
• Basiru Kanyi
• Davia Anuheaokalalohonua Kaopua, DDS

• General Practice Dentistry in Everett, WA
• Providers in Everett, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.