David Jungjoo Kang, DMD, MS, MMSC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE60833718 Issued in WA

Practice address

509 Olive Way Ste 1633
Seattle, WA 98101-1770

Phone

(206) 624-8313

NPI assigned

Jul 7, 2015

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)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• David J Kang DMD Ms MMSC and Michael J Kang DMD MMSC PLLC

  • Endodontics
  • Bainbridge Island, WA
  • NPI 1346021011
  NPD Authorized official
• Michael Kang, DMD, MMSC, PLLC

  • Dental Clinic/Center
  • Seattle, WA
  • NPI 1013376110
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1881077907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 3RD AVE APT 613",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211297",
            "telephone_number": "206-319-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1633",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011770",
            "telephone_number": "206-624-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "DAVID",
        "middle_name": "JUNGJOO",
        "name_prefix": "Dr.",
        "credential": "DMD, MS, MMSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856938",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60833718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Grace Kanevski, MA, LMHCA
• Maya Kaneyasu, ARNP
• Benjamin Kang, DDS
• Byeonguk Kang
• Dahyeon Kang
• Edward Kang, PHARMD
• Gina Kang, M.D.
• Hannah Heayoung Kang, MS,CMC
• Ji Emily Kang
• Ji Won Kang, DMD

• Endodontics in Seattle, WA
• Providers in Seattle, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.