Individual provider Active NPI

Sinha Kang, D.M.D.

  • General Practice Dentistry
  • Ellicott City, MD
National Provider Identifier
1972897312
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12853 Issued in MD
Practice address
5034 Dorsey Hall Dr
#203
Ellicott City, MD 21042-7719
Phone
(410) 730-0043
Fax
(410) 730-7468
NPI assigned
Jun 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12853 MD Primary

Addresses

Primary practice location

5034 Dorsey Hall Dr
#203
Ellicott City, MD 21042-7719

Mailing address

5034 Dorsey Hall Dr
#203
Ellicott City, MD 21042-7719
Phone (410) 730-0043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160810000717 MD Order and Referring Only - General PracticePractitioner - General Practice 3779877006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12853MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sinha Kang DMD PA 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1972897312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5034 DORSEY HALL DR",
            "address_2": "#203",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427719",
            "telephone_number": "410-730-0043",
            "fax_number": "410-730-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5034 DORSEY HALL DR",
            "address_2": "#203",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427719",
            "telephone_number": "410-730-0043",
            "fax_number": "410-730-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "SINHA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.