Individual provider Active NPI

Albert Kang, D.M.D.

  • Dentist
  • Seatac, WA
National Provider Identifier
1700255015
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60581724 Issued in WA
Practice address
18010 8TH Ave S
Seatac, WA 98148-1908
Phone
(206) 812-2460
Fax
(206) 812-2455
NPI assigned
Sep 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60581724 WA Primary
General Practice Dentistry 1223G0001X DE60581724 WA

Addresses

Primary practice location

18010 8TH Ave S
Seatac, WA 98148-1908

Mailing address

1148 Broadway Ste 100
Tacoma, WA 98402-3518
Phone (253) 268-1184

Other practice location 1

201 W Main
Puyallup, WA 98371-5327
Phone (253) 268-1184

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

LicenseStateTypeSpecialty
DE60581724WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Dentist PastSince Feb 2, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: albert.kangdmd.p1@direct.chc-tacoma.nextgenshare.com
  • Direct secure messaging: akang754916@direct.multicare.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1700255015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 BROADWAY STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023518",
            "telephone_number": "253-268-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18010 8TH AVE S",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981481908",
            "telephone_number": "206-812-2460",
            "fax_number": "206-812-2455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 W Main",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983715327",
            "country_code": "US",
            "telephone_number": "253-268-1184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-16",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60581724",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60581724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seatac, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.