Mike M Kang Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45473 Issued in CA

Legal business name

MIKE M KANG DENTAL CORP

Doing business as

APPLETREE DENTAL

Practice address

2170 W Lincoln Ave
Anaheim, CA 92801-5601

Phone

(424) 343-9009

NPI assigned

Jul 26, 2018

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, DDSNPI 1013130970

Title

President

Phone

(424) 343-9009

Specialties & licenses 1

Addresses

Other names 1

• APPLETREE DENTAL Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mike M Kang, D.D.S.

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1013130970
  NPD Authorized official

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1821575416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 W LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 W LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015601",
            "telephone_number": "424-343-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE M KANG DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "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": "424-343-9009",
        "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": "APPLETREE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Mae Michael, M.D.
• Lee Michaels, CRNA
• Mid-Cities Medical Transport
• Ann S. Mighell, MD
• Miguel Aramburu, DDS. Inc.
• Marion Ann Mike-Coury, MS, CCC-SLP
• Andrew M Mikhail, RPH
• Bernadette Marie Milbury, NP
• Massiel Miliano
• Ruth Millan, PT

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, 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 26, 2018; 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.