Andrew Kang

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63481 Issued in CA

Practice address

4917 Lincoln Ave
Cypress, CA 90630-2655

Phone

(714) 947-0777

NPI assigned

Jun 16, 2014

Last updated

Jul 17, 2020By the provider in NPPES

Sex

Male

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

Locations

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

• Andrew Kang DDS Inc

  dba Trudental

  • Dental Clinic/Center
  • Cypress, CA
  • NPI 1548801632
  NPD Authorized official
• Dr.Cho Dental Professional Corporation

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1427922343
  NPD (past)

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1730593005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 LINCOLN AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302655",
            "telephone_number": "714-947-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 LINCOLN AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302655",
            "telephone_number": "714-947-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Tran, DMD, Dental Corp
• Charisa Kaddis, OTR/L
• Kadence Healthcare, Inc
• Tom T Kadowaki, D.D.S.
• Kamstra Care Home (St. Francis Home For The Elderly)
• Minji Hailey Kang
• Youngmo Kang, DDS
• Karing Physicians Medical Group, Inc.
• Katsuko Matsui Inc. a Professional Dental Cooperation
• Caitlin Alexa Kelliher

• General Practice Dentistry in Cypress, CA
• Providers in Cypress, 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 17, 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.