Eddie K Kao, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56773 Issued in CA

Practice address

17502 Irvine Blvd Ste E
Tustin, CA 92780-3127

Phone

(714) 598-1488

Fax

(626) 962-5411

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1376698233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17502 IRVINE BLVD STE E",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803127",
            "telephone_number": "714-598-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17502 IRVINE BLVD STE E",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803127",
            "telephone_number": "714-598-1488",
            "fax_number": "626-962-5411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 S Sunset Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917903410",
            "country_code": "US",
            "telephone_number": "626-962-5415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAO",
        "first_name": "EDDIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kang
• Seung M Kang, DDS
• Bindu B. Kansagra, DDS
• Kanthi J Appannagari DDS a Professional Dental Corporation
• Kanthi J Appannagari Professional Dental Corporation
• Ellie Karimi, PHD
• Karol D Dangaran M D Inc
• Kash Ahmed DMD Inc.
• Yuki Kashiwabara, MD
• Madhu K Katakia, MD

• General Practice Dentistry in Tustin, CA
• Providers in Tustin, 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 Feb 7, 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.