Individual provider Active NPI

Rachel Yeonhee Kang, DMD

  • Dentist
  • Montgomery, AL
National Provider Identifier
1851926752
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D.0006731-C1 Issued in AL
Practice address
1845 Cherry St
Montgomery, AL 36107-2613
Phone
(334) 420-5001
NPI assigned
Mar 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D.0006731-C1 AL Primary

Addresses

Primary practice location

1845 Cherry St
Montgomery, AL 36107-2613

Mailing address

495 Bon Terre Blvd
Pike Road, AL 36064-2651

Other names 1

  • Yeonhui Kang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200603002104 AL Practitioner - Dentist 8022439835 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D.0006731-C1ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services, Inc. CurrentSince May 1, 2020 Accepting new patients
Health Services Inc Current Accepting new patients
Health Services, Inc CurrentSince May 1, 2020 Accepting new patients
The Foot and Ankle Center of Kirkland PLLC Past Accepting new patients
Foot and Ankle Center of Issaquah LLC Past Accepting new patients

Locations

511 E Tuskeena St
Hayneville, AL 36040
Phone (334) 548-2516

2611 Woodley Park Dr
Montgomery, AL 36116
Phone (334) 288-0009

3058 Mobile Hwy
Montgomery, AL 36108
Phone (334) 293-6670

Organizations & group practices 5

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": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1851926752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 BON TERRE BLVD",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360642651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CHERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361072613",
            "telephone_number": "334-420-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "RACHEL",
        "middle_name": "YEONHEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D.0006731-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YEONHUI",
            "last_name": "KANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.