David Shang Kao, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

53075 Issued in CA

Practice address

1127 Wilshire Blvd Ste 812
Los Angeles, CA 90017

Phone

(213) 481-2699

NPI assigned

Aug 29, 2007

Last updated

Jun 15, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

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.

• David S. Kao DDS, Inc.

  dba LA Wilshire Periodontics and Dental Implants

  • Periodontics
  • Los Angeles, CA
  • NPI 1144714924
  NPD (past) Authorized official

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1932393246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 VERANDA CT",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928311049",
            "telephone_number": "310-486-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 812",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90017",
            "telephone_number": "213-481-2699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1127 Wilshire Blvd",
            "address_2": "Suite 903",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900173901",
            "country_code": "US",
            "telephone_number": "310-486-3751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAO",
        "first_name": "DAVID",
        "middle_name": "SHANG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "53075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon W Kao, MD
• Bronwyn Noel Kao, MS CCC-SLP
• Catherine Kao, O.M.D
• Chhunakar Kao, RPH
• Chiu F. Kao, MD
• Doris J Kao, PHARM.D.
• Jack Shih-Chieh Kao, M.D.
• Johnathan Kao, M.D., M.P.H.
• Jui Yu Kao
• Kathleen Tina Kao

• Periodontics in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.