Mike Min W Kang, DDS., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45473 Issued in CA

Legal business name

MIKE MIN W KANG, DDS., INC.

Practice address

1295 S. la Brea Ave.
#101
Inglewood, CA 90301

Phone

(310) 672-0129

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mike M Kang, DDS

Title

President

Phone

(310) 672-0129

Specialties & licenses 1

Addresses

Other names 1

• CROWN DENTAL GROUP Doing business as

Tax ID family

Crown Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mike Min W Kang, DDS., Inc.

  • General Practice Dentistry
  • Bellflower, CA
  • NPI 1811100175
  NPD tax ID

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295947968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 S. LA BREA AVE.",
            "address_2": "#101",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90301",
            "telephone_number": "310-672-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 S. LA BREA AVE.",
            "address_2": "#101",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90301",
            "telephone_number": "310-672-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE MIN W KANG, DDS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-672-0129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROWN DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael F Robinson MD a Prof Corp
• Michael Shaye, D.D.S., Inc., a Professional Corporation
• Michele Freeman,M.D., Inc.
• Michelle C. Banks, M.D. a Medical Corporation
• Ruth Turnquist Mielke, CNM, MS
• Felicia Miller, L.C.S.W.
• Latisha Lanay Miller, MSW
• Patricia Miller
• Stephen Miller, PH.D.
• Kimberly Franchelle Mills, RN

• General Practice Dentistry in Inglewood, CA
• Providers in Inglewood, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.