Sumin Kang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104087 Issued in CA

Practice address

19040 Van Buren Blvd Ste 111
Riverside, CA 92508-9160

Phone

(951) 789-0200

NPI assigned

Jul 19, 2019

Sex

Female

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

Practice roles

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.

• Sopheap Tang DMD Dental Corporation

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1255610242
  NPD (past)

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1700439668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25947 REDLANDS BLVD APT G",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738484",
            "telephone_number": "541-285-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19040 VAN BUREN BLVD STE 111",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089160",
            "telephone_number": "951-789-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "SUMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Kang
• Anita Kaur Kang, PHARM.D.
• Grace E Kang
• Harvard Kang
• Michael Kang, M.D.
• Jennifer Kangas
• Katherine Kani
• Joshua Abraham Kanji, M.D.
• Roshan Kannan
• Brandy Kantiz

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, 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 Jul 19, 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.