Yoon C Kang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19320 Issued in TX

Practice address

2625 Old Denton Rd Ste 101
Carrollton, TX 75007-5133

Phone

(972) 242-3737

Fax

(972) 242-1465

NPI assigned

Oct 23, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Boso PA

  • Dentist
  • Carrollton, TX
  • NPI 1083154488
  NPD Authorized official
• Kang,DDS, PA

  • Dentist
  • Carrollton, TX
  • NPI 1730517251
  NPD Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1396828307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 OLD DENTON RD STE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075133",
            "telephone_number": "972-242-3737",
            "fax_number": "972-242-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 OLD DENTON RD STE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075133",
            "telephone_number": "972-242-3737",
            "fax_number": "972-242-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "YOON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009493001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summer Joy Kaafarani, LPC-S
• Tracie Kaip, PSY.D.
• Iris Kamgue
• Kan Di Ki, LLC
• Sang Hee Kang, PTA
• Kang,DDS, PA
• Maranda Nicole Kano, LMSW
• Ronald Kapusta, MD
• Nimira Karamali, MS CCC SLP
• Karing to Care LLC

• General Practice Dentistry in Carrollton, TX
• Providers in Carrollton, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.