Mike Min W Kang, DDS., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45473 Issued in CA

Legal business name

MIKE MIN W KANG, DDS., INC.

Practice address

9202 Alondra Blvd.
Bellflower, CA 90706

Phone

(562) 866-8444

Fax

(562) 866-7747

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mike M Kang, DDS

Title

President

Phone

(562) 866-8444

Specialties & licenses 1

Addresses

Other names 1

• CROWN DENTAL GROUP Doing business as

Tax ID family

Crown Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mike Min W Kang, DDS., Inc.

  • General Practice Dentistry
  • Inglewood, CA
  • NPI 1295947968
  NPD tax ID

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811100175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 ALONDRA BLVD.",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "90706",
            "telephone_number": "562-866-8444",
            "fax_number": "562-866-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 ALONDRA BLVD.",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "90706",
            "telephone_number": "562-866-8444",
            "fax_number": "562-866-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE MIN W KANG, DDS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-866-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROWN DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Catalina Meza, BCBA
• Maguy Nora Michelman
• David K Middleton, PHD
• James Timothy Miersma
• Arpy Mikaelian, PHARM.D.
• Jeffrey M. Miller, MD
• William P. Miller, MD
• Millot DDS Inc
• Sharrie L. Mills, MD
• Margaret G. Mimiaga, MFT

• General Practice Dentistry in Bellflower, CA
• Providers in Bellflower, 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 Aug 22, 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.