Organization Active NPI

Kang & Chang Dental Group Inc

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1881139442
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40624 Issued in CA
Legal business name
KANG & CHANG DENTAL GROUP INC
Practice address
2520 W 8TH St
Suite 207
Los Angeles, CA 90057-3861
Phone
(213) 380-1894
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Seong Kang
Title
Owner
Phone
(213) 380-1894

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 51048 CA
Dentist 122300000X 40624 CA Primary

Addresses

Primary practice location

2520 W 8TH St
Suite 207
Los Angeles, CA 90057-3861

Mailing address

2520 W 8TH St
Suite 207
Los Angeles, CA 90057-3861

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1881139442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 W 8TH ST",
            "address_2": "SUITE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 W 8TH ST",
            "address_2": "SUITE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573861",
            "telephone_number": "213-380-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANG & CHANG DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "SEONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-380-1894"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51048",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.