Eugene Kyungmook Khang, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21214 Issued in MA

Practice address

30 Prospect St
Cambridge, MA 02139-2401

Phone

(617) 576-5300

NPI assigned

Oct 27, 2006

Last updated

Jul 10, 2012By 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

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.

Opted out of Medicare

Yes, effective Mar 17, 2016 through Mar 17, 2028

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chelmsford Dental Care LLC

  • Dental Clinic/Center
  • Chelmsford, MA
  • NPI 1083226187
  NPD Authorized official
• Prospect Dental Group, L.L.C.

  • Dental Clinic/Center
  • Cambridge, MA
  • NPI 1750521399
  NPD (past) Authorized official
• Ace Dental Cambridge PLLC

  • Dental Clinic/Center
  • Cambridge, MA
  • NPI 1336998525
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1265518880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PROSPECT ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392401",
            "telephone_number": "617-576-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392401",
            "telephone_number": "617-576-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANG",
        "first_name": "EUGENE",
        "middle_name": "KYUNGMOOK",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soukhith Khamhoung
• Arshad Khan, MD
• Holly Wise Khan, NP
• Ushna Mahmud Khan
• Dylan M Khanal, LICSW
• Uma Khanolkar, D.M.D.
• Afaf A Khayat, DDS, MSD, CAGS
• Joseph Khoory, DO
• Nayla Muin Khoury, M.D., M.P.H.
• Mary Catherine Kiely, MARY KIELY PHD

• General Practice Dentistry in Cambridge, MA
• Providers in Cambridge, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.