Active NPI
Daniel D Kang, MSOT
- Occupational Therapist
- Omaha, NE
National Provider Identifier
1629841598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 437059
- Practice address
- 1010 N 102ND St Ste 300
Omaha, NE 68114-2122 - Phone
- (402) 891-1118
- NPI assigned
- Nov 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTH-008206 | AZ | |
| Occupational Therapist | 225X00000X | OT61484881 | WA | |
| Occupational Therapist | 225X00000X | 437059 | OR | Primary |
Addresses
Primary practice location
1010 N 102ND St Ste 300
Omaha, NE 68114-2122
Mailing address
2643 S Moonlight Way
Yuma, AZ 85365-1186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-008206 | AZ | MD | Occupational Therapist |
| 437059 | OR | MD | Occupational Therapist |
| OT61484881 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1629841598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2643 S MOONLIGHT WAY",
"city": "YUMA",
"state": "AZ",
"postal_code": "853651186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N 102ND ST STE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142122",
"telephone_number": "402-891-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "DANIEL",
"middle_name": "D",
"credential": "MSOT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-02",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-008206",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT61484881",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "437059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.