Alex H Kang, D.D.S., M.S.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DE9696 Issued in WA

Practice address

1100 Pacific Ave
Suite 200
Everett, WA 98201-4261

Phone

(425) 258-3130

Fax

(425) 252-6562

NPI assigned

May 12, 2007

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Alex H. Kang DDS MSD PLLC

  • Prosthodontics
  • Everett, WA
  • NPI 1891643441
  NPD Authorized official
• Gregory a Hanson DDS PS

  • General Practice Dentistry
  • Everett, WA
  • NPI 1538283775
  NPD (past)

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801001805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PACIFIC AVE",
            "address_2": "SUITE 200",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014261",
            "telephone_number": "425-258-3130",
            "fax_number": "425-252-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PACIFIC AVE",
            "address_2": "SUITE 200",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014261",
            "telephone_number": "425-258-3130",
            "fax_number": "425-252-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "ALEX",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE9696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James William Kammerer Jr.
• Gigi Kan, O.D.
• Mariah Carmen Kanakia, MS, CCC-SLP
• Neelima Kandula, M.B.B.S
• Laura May Spahn Kaneakua X, MHT LLL
• Yun Min Kang, D.D.S
• Shivani S Kant, D.D.S
• Madison Elizabeth Kantowski, MSW
• Srivani Kanumuri, M.D.
• Basiru Kanyi

• Prosthodontics in Everett, WA
• Providers in Everett, WA by specialty
• Prosthodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.