Daniel Jaemoon Kang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101784 Issued in CA

Practice address

201 Walnut Avenue
612 Ge/Mi Dental
Vallejo, CA 94592

Phone

(707) 562-8283

NPI assigned

Aug 2, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1669996518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WALNUT AVENUE",
            "address_2": "612GE/ MI DENTAL",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WALNUT AVENUE",
            "address_2": "612 GE/MI DENTAL",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94592",
            "telephone_number": "707-562-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "DANIEL",
        "middle_name": "JAEMOON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kaleel, MD
• Kamana Joshi, DDS, a Professional Corporation (Affordable Dentures & Implants - Vallejo)
• Neha K. Kamdar, M.D.
• Keith Daniel Kamei, O.D.
• Jonathan J. Kaner, MD
• Stephanie Kang
• Sundeep Singh Kang, MD
• Yerin S Kang
• Alexa Kaplan
• Isaac L. Kaplan, MD

• General Practice Dentistry in Vallejo, CA
• Providers in Vallejo, 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 Aug 2, 2017; 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.