James Kang, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6802 Issued in NV

Practice address

475 Sparks Blvd Ste 101
Sparks, NV 89434-9002

Phone

(775) 359-1565

NPI assigned

Sep 11, 2016

Last updated

Sep 11, 2016By the provider in NPPES

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

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shahrestani Sparks Marina Dentistry, PC

  dba Sparks Marina Dentistry

  • General Practice Dentistry
  • Sparks, NV
  • NPI 1760861447
  NPD (past)

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

{
    "created_epoch": "1473552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473552000000",
    "number": "1386191005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SPARKS BLVD STE 101",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349002",
            "telephone_number": "775-359-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SPARKS BLVD STE 101",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349002",
            "telephone_number": "775-359-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-11",
        "last_updated": "2016-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Llyod Kaiser
• Magda Hakim Kalmer
• Mary C Kalna, R.N.
• Daniel P Kane, NCTMB, LMT
• Michael Eldan Kanellis, DMD
• Muskan Kapila
• Tayler Karas
• Rachel Karlen, DO
• Katheryne W Glantz LTD
• Avery Kaylin Kauffman

• General Practice Dentistry in Sparks, NV
• Providers in Sparks, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.