Andrew Kang DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ANDREW KANG DDS INC

Doing business as

Trudental

Practice address

4917 Lincoln Ave
Cypress, CA 90630-2655

Phone

(562) 822-5937

NPI assigned

Oct 1, 2019

Last updated

Jul 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Kang, DDSNPI 1730593005

Title

Owner

Phone

(714) 947-0777

Specialties & licenses 1

Addresses

Other names 1

• TRUDENTAL Doing business as

Locations

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.

• Andrew Kang

  • General Practice Dentistry
  • Cypress, CA
  • NPI 1730593005
  NPD Authorized official

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1548801632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 LINCOLN AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 LINCOLN AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302655",
            "telephone_number": "562-822-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW KANG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-947-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRUDENTAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRUDENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Cypress, CA
• Providers in Cypress, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.