Organization Active NPI

Yoon H. Kang, DMD, PHD, LLC

  • Dental Clinic/Center
  • Newton, MA
National Provider Identifier
1396033932
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN22133 Issued in MA
Legal business name
YOON H. KANG, DMD, PHD, LLC
Practice address
93 Union St
Suite 404
Newton, MA 02459-2244
Phone
(617) 244-8087
Fax
(508) 319-3090
NPI assigned
Jul 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Dr. Yoon H Kang, DMD, PHDNPI 1891952289
Title
Manager/Dentist
Phone
(617) 244-8087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN22133 MA Primary

Addresses

Primary practice location

93 Union St
Suite 404
Newton, MA 02459-2244

Mailing address

25 Spring Valley Rd
Natick, MA 01760-1721
Phone (617) 244-8087

National Provider Directory

National Provider Directory

Locations

93 Union St
Ste 404
Newton Centre, MA 02459
Phone (617) 244-8087

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1396033932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SPRING VALLEY RD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601721",
            "telephone_number": "617-244-8087",
            "fax_number": "508-319-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 UNION ST",
            "address_2": "SUITE 404",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592244",
            "telephone_number": "617-244-8087",
            "fax_number": "508-319-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOON H. KANG, DMD, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "YOON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER/DENTIST",
        "authorized_official_telephone_number": "617-244-8087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN22133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.