Active NPI
Albert Kang, D.M.D.
- Dentist
- Seatac, WA
National Provider Identifier
1700255015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60581724
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DE60581724 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Dentist | Past | Accepting new patients |
Interoperability endpoints
- albert.kangdmd.p1@direct.chc-tacoma.nextgenshare.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Seatac, WA
- NPI 1447308762
Dentist
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.