DR. THOMAS C. KANG (NPI# 1073697892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073697892 |
| Entity Type | Individual |
| Full Name | DR. THOMAS C. KANG |
| Credential | DDS |
| Practice Address |
2505 S 320th St Suite 330 Federal Way WA 98003-5400 |
| Mailing Address |
2572 Union Ave Ne Renton WA 98059-3501 |
| Practice Telephone | 2064000800 |
| Practice Fax Number | 5238749068 |
| Mailing Telephone | 4252714120 |
| Mailing Fax Number | 2538740968 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEA # | BK9779274 | 01 |
| WA | WA. STATE I.D. | DE00010542W | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588766604 | Thomas Sunil Kang | Otolaryngology | 6340 N. Campbell, Suite 256, Tucson, AZ 85718 | 2006-09-01 |
| 1982879987 | Thomas Tae Hyuk Kang | Family Medicine | 1900 E 4th St, Santa Ana, CA 92705-3910 | 2008-04-29 |
| 1588854137 | Thomas J Kang | Surgery | 3407 Wilkens Ave Ste 410, Baltimore, MD 21229-5074 | 2007-07-30 |
| Street Address |
2505 S 320TH ST SUITE 330 |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578016762 | Shang Lun Liu | Dentist | 2505 S 320th St, Federal Way, WA 98003-5400 | 2016-07-25 |
| 1568783579 | Kevin Ray Suzuki | Dentist | 2505 S 320th St, Suite 330, Federal Way, WA 98003-5400 | 2010-06-14 |
| 1790817005 | Paper Street Periodontics & Implant Dentristry | Dentist | 2505 S 320th St, Suite 330, Federal Way, WA 98003-5400 | 2007-03-12 |
| 1164579447 | Katie H Kim | Dentist | 2505 S 320th St, Federal Way, WA 98003-5400 | 2007-01-05 |
| 1033276928 | Yoshinari Nakayama | Dentist | 2505 S 320th St, Federal Way, WA 98003-5400 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780142729 | Shoko Sato | Dentist | 2505 S 320th St Ste 330, Federal Way, WA 98003-5461 | 2019-03-08 |
| 1578016762 | Shang Lun Liu | Dentist | 2505 S 320th St, Federal Way, WA 98003-5400 | 2016-07-25 |
| 1568783579 | Kevin Ray Suzuki | Dentist | 2505 S 320th St, Suite 330, Federal Way, WA 98003-5400 | 2010-06-14 |
| 1790817005 | Paper Street Periodontics & Implant Dentristry | Dentist | 2505 S 320th St, Suite 330, Federal Way, WA 98003-5400 | 2007-03-12 |
| 1033276928 | Yoshinari Nakayama | Dentist | 2505 S 320th St, Federal Way, WA 98003-5400 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653397 | Rika Takada | Dentist | B403 Health Sciences Building, Seattle, WA 98195-0001 | 2020-06-14 |
| 1467074757 | Amit Srikant Gharpure | Dentist | 1959 Ne Pacific Street Health Science Center Room B-403, Seattle, WA 98195-0001 | 2020-05-10 |
| 1922632843 | Jessica Hsu | Dentist | 625 4th Ave Ste 201, Kirkland, WA 98033-9028 | 2020-02-29 |
| 1992338891 | Ehsan Zahedi | Dentist | 18009 Highway 99 Ste F, Lynnwood, WA 98037-4499 | 2020-02-19 |
| 1942738497 | Yu Lwo | Dentist | 1740 Nw Maple St Ste 110, Issaquah, WA 98027-8000 | 2017-05-30 |
| 1134677792 | Mill Creek Implants & Periodontics | Dentist | 15130 Main St Ste 210, Mill Creek, WA 98012-7370 | 2016-09-13 |
| 1164890026 | Shih-chung Liao | Dentist | 720 Olive Way Ste 810, Seattle, WA 98101-1836 | 2015-09-09 |
| 1225445539 | Implant & Periodontic Specialists | Dentist | 1418 112th Ave Ne Suite 100, Bellevue, WA 98004 | 2014-07-18 |
| 1093147068 | Etheridge Family Dentistry | Dentist | 3130 E Madison St Ste 103, Seattle, WA 98112-4221 | 2013-08-01 |
| 1639416183 | Jessica R Swoboda | Dentist | 10050 Ne 10th St # Stc, Bellevue, WA 98004-4121 | 2013-01-03 |
| Find all providers with the same taxonomy | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.