Individual provider Active NPI

Sarah M Kwang, D.D.S.

  • Endodontics
  • Cypress, TX
National Provider Identifier
1831478577
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
27407 Issued in TX
Practice address
17814 Spring Cypress Rd # 101
Cypress, TX 77429-1719
Phone
(347) 735-9105
NPI assigned
Aug 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0000000 TX
Endodontics 1223E0200X 27407 TX Primary

Addresses

Primary practice location

17814 Spring Cypress Rd # 101
Cypress, TX 77429-1719

Mailing address

1050 Yale St Ste 210
Houston, TX 77008-2831
Phone (504) 261-6682

Other names 1

  • Dr. Sarah Kwang Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160429001007 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7618276445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000000TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Patency Capital LLC Endodontics CurrentSince Apr 17, 2020 Accepting new patients

Locations

1050 Yale St
Ste 210
Houston, TX 77008
Phone (281) 985-9993

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1831478577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 YALE ST STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082831",
            "telephone_number": "504-261-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17814 SPRING CYPRESS RD # 101",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291719",
            "telephone_number": "347-735-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWANG",
        "first_name": "SARAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0000000",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "27407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "KWANG",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.