David M. Kang, DDS, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

50933 Issued in CA

Legal business name

DAVID M. KANG, DDS, INC.

Doing business as

Brea Pediatric Dental Practice

Practice address

1770 E Lambert Rd
Suite 210
Brea, CA 92821-4372

Phone

(714) 255-8338

Fax

(714) 255-1326

NPI assigned

Jan 8, 2008

Last updated

Jun 23, 2008By 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. David Min Kang, DDS

Title

President

Phone

(323) 899-4957

Specialties & licenses 1

Addresses

Other names 1

• Brea Pediatric Dental Practice Doing business as

Locations

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1598940553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E LAMBERT RD",
            "address_2": "SUITE 210",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214372",
            "telephone_number": "714-255-8338",
            "fax_number": "714-255-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E LAMBERT RD",
            "address_2": "SUITE 210",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214372",
            "telephone_number": "714-255-8338",
            "fax_number": "714-255-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. KANG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-899-4957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "50933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brea Pediatric Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Brea, CA
• Providers in Brea, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.