Individual provider Active NPI

Yoon H Kang, DMD, PHD

  • General Practice Dentistry
  • Newton Centre, MA
National Provider Identifier
1891952289
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22133 Issued in MA
Practice address
93 Union St
Suite 404
Newton Centre, MA 02459-2244
Phone
(617) 244-8087
Fax
(508) 319-3090
NPI assigned
May 22, 2008
Last updated
Nov 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60078827 WA
General Practice Dentistry 1223G0001X 22133 MA Primary

Addresses

Primary practice location

93 Union St
Suite 404
Newton Centre, MA 02459-2244

Mailing address

25 Spring Valley Rd
Natick, MA 01760-1721
Phone (508) 652-8087

Other names 1

  • Dr. Yoon 'Henry' Kang Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DE60078827WAMDDentist
22133MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Yoon H. Kang, DMD, PHD, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1891952289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SPRING VALLEY RD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601721",
            "telephone_number": "508-652-8087",
            "fax_number": "508-319-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 UNION ST",
            "address_2": "SUITE 404",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024592244",
            "telephone_number": "617-244-8087",
            "fax_number": "508-319-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "YOON",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DMD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60078827",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "22133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOON",
            "last_name": "KANG",
            "middle_name": "'HENRY'",
            "prefix": "DR.",
            "credential": "DMD, PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newton Centre, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.