Justin Kang, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

39479 Issued in TX

Practice address

2225 Williams Trace Blvd Ste 111
Sugar Land, TX 77478-4440

Phone

(281) 994-9843

NPI assigned

Jun 15, 2023

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Nest Dental PLLC

  • General Practice Dentistry
  • Houston, TX
  • NPI 1467322081
  NPD
• Morton Ranch Smiles Dentistry, PC

  • Dentist
  • Katy, TX
  • NPI 1760919690
  NPD (past)

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1255015541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 FM 1463 RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945499",
            "telephone_number": "734-546-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 WILLIAMS TRACE BLVD STE 111",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784440",
            "telephone_number": "281-994-9843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22720 Morton Ranch Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774492152",
            "country_code": "US",
            "telephone_number": "281-712-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "JUSTIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-15",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa K Kampwerth, LCSW
• Jennifer Kan, DDS
• Wael Kanaan
• Vikas S Kancherla, M.D.
• Ranganath Kandala, MD
• Ezenwanyi Queen Kanu, FNP
• Eesha Kapila, FNP-C
• Sherry Lyn Kaplan, LPC
• Karen L Dulyunan
• Kathryn A Karges, MD

• Dentist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.