Active NPI
Prairna Kang
- General Practice Dentistry
- Burlington, NC
National Provider Identifier
1952040230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12938
- Practice address
- 139 Huffman Mill Rd Ste 104
Burlington, NC 27215-5112 - Phone
- (336) 261-3022
- NPI assigned
- Jun 3, 2022
- Last updated
- May 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61407738 | WA | |
| General Practice Dentistry | 1223G0001X | 12938 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
139 Huffman Mill Rd Ste 104
Burlington, NC 27215-5112
Mailing address
429 New Parkside Dr
Chapel Hill, NC 27516-1161
Phone (425) 598-4873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230712004039 | WA | Order and Referring Only - Dentist | 3577923259 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12938 | NC | MD | General Practice Dentistry |
| 61407738 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1952040230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 NEW PARKSIDE DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275161161",
"telephone_number": "425-598-4873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 HUFFMAN MILL RD STE 104",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272155112",
"telephone_number": "336-261-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "PRAIRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-03",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "61407738",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "12938",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
- JZ Medical Solutions, Inc.
- K. Jasinski, D.M.D., P.C. (Dental Care at Alamance Crossing)
- Radhika Kalisetti, M.D.
- David Kaminski, MD
- Jarrod Dwayne Kanady, APRN
- Karen Brown Kaplan, AGPCNP-C
- Aarti Kamal Kapur, MD
- Andrew Robert Karenz, MD
- Kurian D Kasa, MD
- Katherine Jones, DDS, P.a. (Affordable Dentures & Implants - Burlington)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.