NPIMap

Organization Active NPI

Benjamin Kang, DDS, PHD, PLLC

  • Dental Clinic/Center
  • Seattle, WA
National Provider Identifier
1609439033
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BENJAMIN KANG, DDS, PHD, PLLC
Practice address
4500 Sand Point Way NE Ste 212
Seattle, WA 98105-3925
Phone
(206) 524-8777
NPI assigned
Apr 22, 2019
Last updated
Apr 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Benjamin Kang, DDSNPI 1841648268
Title
Dentist
Phone
(562) 900-9182

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4500 Sand Point Way NE Ste 212
Seattle, WA 98105-3925

Mailing address

5091 Buckley Dr
Ypsilanti, MI 48197-6815
Phone (562) 900-9182

National Provider Directory

National Provider Directory

Locations

4500 Sand Point Way NE
Ste 212
Seattle, WA 98105
Phone (206) 524-8777

Practitioners & affiliated clinicians

Practitioners 3

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": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1609439033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5091 BUCKLEY DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976815",
            "telephone_number": "562-900-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SAND POINT WAY NE STE 212",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053925",
            "telephone_number": "206-524-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN KANG, DDS, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "562-900-9182",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.