Active NPI
Sonia Sheminderjit Kang, D.D.S.
- Dentist
- Detroit, MI
National Provider Identifier
1295012136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901019037
- Practice address
- 7436 Woodward Ave
Detroit, MI 48202-3100 - Phone
- (313) 556-9907
- Fax
- (313) 556-9711
- NPI assigned
- Nov 7, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2901019037 | MI | Primary |
Addresses
Primary practice location
7436 Woodward Ave
Detroit, MI 48202-3100
Mailing address
6535 Rochester Rd
Ste 106
Troy, MI 48085-1362
Phone (248) 879-4548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160429001356 | MI | Order and Referring Only - Oral Surgery | 7719286459 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019037 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461283200000",
"number": "1295012136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6535 ROCHESTER RD",
"address_2": "STE 106",
"city": "TROY",
"state": "MI",
"postal_code": "480851362",
"telephone_number": "248-879-4548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7436 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023100",
"telephone_number": "313-556-9907",
"fax_number": "313-556-9711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "SONIA",
"middle_name": "SHEMINDERJIT",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-07",
"last_updated": "2016-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901019037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.