Kang,DDS, PA

Primary specialty

DentistTaxonomy code 122300000X

License

19320 Issued in TX

Legal business name

KANG,DDS, PA

Practice address

2625 Old Denton Rd Ste 101
Carrollton, TX 75007-5133

Phone

(972) 242-3737

Fax

(972) 242-1465

NPI assigned

Oct 18, 2013

Last updated

Jun 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yoon C Kang, DDSNPI 1396828307

Title

President

Phone

(972) 242-3737

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yoon C Kang, DDS

  • General Practice Dentistry
  • Carrollton, TX
  • NPI 1396828307
  NPD Authorized official

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1730517251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 OLD DENTON RD STE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075133",
            "telephone_number": "972-242-3737",
            "fax_number": "972-242-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 OLD DENTON RD STE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075133",
            "telephone_number": "972-242-3737",
            "fax_number": "972-242-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANG,DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "YOON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-242-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009493002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracie Kaip, PSY.D.
• Iris Kamgue
• Kan Di Ki, LLC (Diagnostic Laboratories)
• Sang Hee Kang, PTA
• Yoon C Kang, DDS
• Maranda Nicole Kano, LMSW
• Ronald Kapusta, MD
• Nimira Karamali, MS CCC SLP
• Karing to Care LLC
• Morgan Kasel

• Dentist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.