Individual provider Active NPI

David Christian Kang, DAOM

  • Acupuncturist
  • Sterling Heights, MI
National Provider Identifier
1356997092
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
NCC171761 Issued in MI
Practice address
5514 Metro Pkwy
Sterling Heights, MI 48310-4105
Phone
(586) 795-3063
NPI assigned
Aug 16, 2019
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NCC171761 MI Primary

Addresses

Primary practice location

5514 Metro Pkwy
Sterling Heights, MI 48310-4105

Mailing address

5514 Metro Pkwy
Sterling Heights, MI 48310-4105
Phone (586) 795-3063

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
NCC171761MIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
J H Kang Family Health Center Acupuncturist CurrentSince Aug 25, 2019 Accepting new patients
Michigan K-Beauty and Health Acupuncturist Current Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1356997092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 METRO PKWY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104105",
            "telephone_number": "586-795-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 METRO PKWY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104105",
            "telephone_number": "586-795-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "DAVID",
        "middle_name": "CHRISTIAN",
        "credential": "DAOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MI",
            "license": "NCC171761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.