Peggy Y Kang, D.D.S. a Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60410 Issued in CA

Legal business name

PEGGY Y KANG, D.D.S. A PROFESSIONAL DENTAL CORPORATION

Doing business as

4 Ever Smile Dental Group

Practice address

1140 S San Gabriel Blvd
San Gabriel, CA 91776-3115

Phone

(626) 643-5353

Fax

(626) 614-0191

NPI assigned

Feb 5, 2013

Last updated

Feb 5, 2013By 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

Peggy Y Kang, D.D.S.NPI 1316226335

Title

Ceo

Phone

(626) 643-5353

Specialties & licenses 1

Addresses

Other names 1

• 4 Ever Smile Dental Group Doing business as

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.

• Peggy Y Kang, D.D.S.

  • General Practice Dentistry
  • Rosemead, CA
  • NPI 1316226335
  NPD Authorized official

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1750620241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763115",
            "telephone_number": "626-643-5353",
            "fax_number": "626-614-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763115",
            "telephone_number": "626-643-5353",
            "fax_number": "626-614-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY Y KANG, D.D.S. A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-643-5353",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4 Ever Smile Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yue Xing Pan, L.AC.
• Panda Home Healthcare Inc
• Paul Sucgang, D.O., Inc (Sucgang Family Medicine)
• Pay-Jiuan Chang, D.D.D., Inc.
• Myah Pearl
• Yachen Terri Peng, BACB
• Ashley Pennington
• Cristina Maria Perez, LMFT
• Peter Hor-Tao Chiu
• Alexander Julian Pham, SLP

• General Practice Dentistry in San Gabriel, CA
• Providers in San Gabriel, 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 Feb 5, 2013; 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.