Active NPI
Head & Neck Surgery of North Texas PLLC
- Surgical Oncology Physician
- Dallas, TX
National Provider Identifier
1720445638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- P8484
- Legal business name
- HEAD & NECK SURGERY OF NORTH TEXAS PLLC
- Practice address
- 1411 N Beckley Ave
Pavilion III, Suite 152
Dallas, TX 75203-1259 - Phone
- (469) 713-2038
- Fax
- (214) 948-0156
- NPI assigned
- Jan 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David R Kang, MD, DDS, MS, FACS
- Title
- Owner
- Phone
- (917) 331-4516
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | P8484 | TX | |
| Surgical Oncology Physician | 2086X0206X | P8484 | TX | Primary |
Addresses
Primary practice location
1411 N Beckley Ave
Pavilion III, Suite 152
Dallas, TX 75203-1259
Mailing address
1411 N Beckley Ave
Pavilion III, Suite 152
Dallas, TX 75203-1259
Phone (917) 331-4516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12200 Park Central Dr
Ste 140
Dallas, TX 75251
Phone (469) 713-2038
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Oncology Physician
- Dallas, TX
- NPI 1073601951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464220800000",
"number": "1720445638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE",
"address_2": "PAVILION III, SUITE 152",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031259",
"telephone_number": "917-331-4516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE",
"address_2": "PAVILION III, SUITE 152",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031259",
"telephone_number": "469-713-2038",
"fax_number": "214-948-0156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAD & NECK SURGERY OF NORTH TEXAS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-22",
"last_updated": "2016-05-26",
"status": "A",
"authorized_official_last_name": "KANG",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-331-4516",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, DDS, MS, FACS"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": "TX",
"license": "P8484",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": "TX",
"license": "P8484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.