Dong-Gil Kang DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64566 Issued in CA

Legal business name

DONG-GIL KANG DDS INC

Doing business as

Ohana Dental Group

Practice address

1414 W Colorado Blvd
Pasadena, CA 91105-1414

Phone

(626) 714-7877

Fax

(626) 714-7876

NPI assigned

Dec 18, 2017

Organization subpart

No

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

Authorized official

Name

Donggil Kang, D.D.SNPI 1356723076

Title

Ceo/Doctor

Phone

(909) 912-4270

Specialties & licenses 1

Addresses

Other names 1

• Ohana Dental Group Doing business as

Practitioners 1

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

• Donggil Kang, D.D.S

  • General Practice Dentistry
  • Pasadena, CA
  • NPI 1356723076
  NPD Authorized official

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1508372269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N LOS ROBLES AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011004",
            "telephone_number": "626-714-7877",
            "fax_number": "626-714-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051414",
            "telephone_number": "626-714-7877",
            "fax_number": "626-714-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONG-GIL KANG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "DONGGIL",
        "authorized_official_title_or_position": "CEO/DOCTOR",
        "authorized_official_telephone_number": "909-912-4270",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohana Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Donabedian
• Khajadour Donabedian, D.D.S.
• Donald C Ashmore Opticians Inc
• Sarah Webb Donaldson
• Dong Choe D.C.
• Elisa Dong
• Jessica Marie Donis
• Donna Shanahan, LMFT
• Katherine Donnelly-Crocker
• Maria Dorado, RN

• General Practice Dentistry in Pasadena, CA
• Providers in Pasadena, 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 Sep 19, 2022; 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.