NPIMap

Organization Active NPI

Teresa K Kang DDS

  • Dentist
  • Kirkland, WA
National Provider Identifier
1417409855
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9684 Issued in WA
Legal business name
TERESA K KANG DDS
Practice address
12332 120TH Ave NE
Kirkland, WA 98034-6926
Phone
(425) 821-8411
Fax
(425) 821-5188
NPI assigned
Nov 2, 2016
Last updated
Jan 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Dr. Teresa KangNPI 1003822057
Title
Owner
Phone
(425) 821-8411

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
Dentist 122300000X 9684 WA Primary

Addresses

Primary practice location

12332 120TH Ave NE
Kirkland, WA 98034-6926

Mailing address

12332 120TH Ave NE
Kirkland, WA 98034-6926
Phone (425) 821-8411

National Provider Directory

National Provider Directory

Locations

12332 120th Ave NE
Kirkland, WA 98034
Phone (425) 821-8411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1417409855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12332 120TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346926",
            "telephone_number": "425-821-8411",
            "fax_number": "425-821-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12332 120TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346926",
            "telephone_number": "425-821-8411",
            "fax_number": "425-821-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA K KANG DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-821-8411",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "9684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.