Jean Kang, D.D.S., Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JEAN KANG, D.D.S., INC.

Doing business as

The Tickled Tooth

Practice address

1808 Verdugo Blvd Ste 312
Glendale, CA 91208-1456

Phone

(818) 790-6721

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Jean Yoona Kang, DDSNPI 1932632726

Title

President

Phone

(818) 790-6721

Specialties & licenses 3

Addresses

Other names 1

• The Tickled Tooth Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean Kang

  • Pediatric Dentistry
  • Glendale, CA
  • NPI 1932632726
  NPD Authorized official

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1336971126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 VERDUGO BLVD STE 312",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081456",
            "telephone_number": "818-790-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 VERDUGO BLVD STE 312",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081456",
            "telephone_number": "818-790-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN KANG, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "YOONA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-790-6721",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Tickled Tooth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fred Javdan, M.D.
• Cresilyn Mangasi Javier
• Jinkee Marie Lunar Javier, NP
• Jax Home Health, Inc
• Melissa Jazmines-Broersma, OTD, MS, OTR/L
• Jean Reitter, DDS, Inc. (Absolute Dental Care)
• Jeannine Scheinhorn MD, a Medical Corporation
• Jeeva LLC (Pacific Grand Pharmacy and Supply)
• Christian Jefferson
• Michael Jefferson, M.D.

• Pediatric Dentistry in Glendale, CA
• Providers in Glendale, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.