John Jung Hoon Kang, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS040186 Issued in PA

Practice address

2000 Market Street
Bsa #2
Philadelphia, PA 19103-3231

Phone

(215) 564-9010

Fax

(215) 261-5580

NPI assigned

Jan 7, 2015

Last updated

Oct 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alpha Dental Spa LLC

  • Dental Clinic/Center
  • Cinnaminson, NJ
  • NPI 1518403393
  NPD (past)

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1861880247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MARKET STREET",
            "address_2": "BSA #2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033231",
            "telephone_number": "215-564-9010",
            "fax_number": "215-261-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MARKET STREET",
            "address_2": "BSA #2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033231",
            "telephone_number": "215-564-9010",
            "fax_number": "215-261-5580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Branch Pike Ste 16",
            "address_purpose": "LOCATION",
            "city": "Cinnaminson",
            "state": "NJ",
            "postal_code": "080773044",
            "country_code": "US",
            "telephone_number": "856-829-1989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Ark Rd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080543188",
            "country_code": "US",
            "telephone_number": "856-722-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "JOHN",
        "middle_name": "JUNG HOON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-07",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02596700",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feel Gu Kang, MD
• Hansol Kang, MD
• He Mi Kang
• Ji Won Kang
• John Kang
• Joyce Blossom Kang, MD/PHD
• Julie Kang
• Karen Sinah Kang, DMD
• Melissa D Kang, MD
• Mitchell Kang, D.O.

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.