Donggil Kang, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63176 Issued in CA

Practice address

668 N Los Robles Ave
Pasadena, CA 91101-1004

Phone

(626) 714-7871

Fax

(626) 714-7876

NPI assigned

Jun 19, 2015

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dong-Gil Kang DDS Inc

  dba Ohana Dental Group

  • General Practice Dentistry
  • Pasadena, CA
  • NPI 1508372269
  NPD Authorized official

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1356723076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051414",
            "telephone_number": "626-714-7871",
            "fax_number": "626-714-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 N LOS ROBLES AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011004",
            "telephone_number": "626-714-7871",
            "fax_number": "626-714-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "DONGGIL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fagharch Kandilian, RPH
• David William Kane, LMFT
• Grace Kane1
• Kang Eastern Medicine Inc
• Amy Kang
• Hong Bee Kang
• Jimmy J Kang, M.D.
• Szshiang Kang, L.AC
• Vanessa Annwanett Kanistanaux
• Alyssa Akemi Kano, DPT

• General Practice Dentistry in Pasadena, CA
• Providers in Pasadena, 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 Sep 19, 2022; 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.