Individual provider Active NPI

Hyung Gi Kang, D.C.

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1356628135
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR 007468 Issued in GA
Practice address
3585 Peachtree Industrial Blvd
Suite 102
Duluth, GA 30096-6378
Phone
(770) 495-0014
NPI assigned
Nov 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR 007468 GA Primary
Chiropractor 111N00000X B 01186 NV

Addresses

Primary practice location

3585 Peachtree Industrial Blvd
Suite 102
Duluth, GA 30096-6378

Mailing address

3585 Peachtree Industrial Blvd
Suite 102
Duluth, GA 30096-6378
Phone (770) 495-0014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR 007468GAMDChiropractor
B 01186NVMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1356628135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966378",
            "telephone_number": "770-495-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966378",
            "telephone_number": "770-495-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "HYUNG",
        "middle_name": "GI",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR   007468",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B   01186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.