DR. MINKU KANG (NPI# 1164642799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164642799 |
| Entity Type | Individual |
| Full Name | DR. MINKU KANG |
| Practice Address |
9661 Main St Suite C Fairfax VA 22031-3757 |
| Practice Telephone | 7034253737 |
| Practice Fax Number | 7034253762 |
| Mailing Telephone | 7034253737 |
| Mailing Fax Number | 7034253762 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
0401411732 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023538097 | Minku Kang | Acupuncturist | 5580 Hecate Ct, Fairfax, VA 22032-3840 | 2017-06-21 |
| Street Address |
9661 MAIN ST SUITE C |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740400324 | Leonard Toyer | Dentist | 9661 Main St, Suite C, Fairfax, VA 22031-3757 | 2007-04-26 |
| 1326253626 | Nahid Nikfar | Dental Hygienist | 9661 Main St, Fairfax, VA 22031-3757 | 2007-05-11 |
| 1205048972 | Dental One Associates (woodson Square), Ltd | Dentist | 9661 Main St, Suite C, Fairfax, VA 22031-3757 | 2007-05-04 |
| 1104048552 | Brian Lee | Dentist | 9661 Main St, Suite C, Fairfax, VA 22031-3757 | 2007-05-03 |
| 1134349178 | William Joseph Mcgarry Iv | Dentist | 9661 Main St, Suite C, Fairfax, VA 22031-3757 | 2007-05-01 |
| 1457571473 | Ashley Dinh | Dentist | 9661 Main St, Suite C, Fairfax, VA 22031-3757 | 2007-05-01 |
| 1639399306 | Ira M Rosenthal | Dentist | 9661 Main St, Suite C, Fairfax, VA 22031-3757 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710362447 | Walter Emanuel Odisho | Dentist | 3040 Williams Dr Ste 201, Fairfax, VA 22031 | 2015-07-23 |
| 1154591261 | Richard William Toth | Dentist | 10550 Warwick Ave, Fairfax, VA 22030-3133 | 2008-03-04 |
| 1538359112 | Brendan Bernhart, Dds, PC | Dentist | 3020 Hamaker Ct., Ste. 510, Fairfax, VA 22031-2220 | 2007-07-30 |
| 1306275110 | Caroline Corrigan Eskow | Dentist | 10550 Warwick Ave, Fairfax, VA 22030-3133 | 2013-11-03 |
| 1215189816 | Brian A Mahler | Dentist | 10550 Warwick Ave, Fairfax, VA 22030-3133 | 2008-10-15 |
| 1245458371 | Brendan John Bernhart | Dentist | 3020 Hamaker Ct, Suite 510, Fairfax, VA 22031-2238 | 2007-04-23 |
| 1720090442 | Steven Michael Somers | Dentist | 8301 Arlington Blvd, Suite 207, Fairfax, VA 22031 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093295149 | Lux Dental Center | Dentist | 43761 Parkhurst Plz Ste 132, Ashburn, VA 20147-5470 | 2018-08-17 |
| 1417207986 | Techkouhie Hamalian | Dentist | 1911 Fort Myer Dr, Arlington, VA 22209-1607 | 2012-09-12 |
| 1790061695 | Marjan Salari | Dentist | 6960g Bradlick Shopping Ctr # G, Annandale, VA 22003-7227 | 2011-10-24 |
| 1740582832 | Eun Hye Lee | Dentist | 1861 Explorer St, Reston, VA 20190-5665 | 2010-11-23 |
| 1184944217 | Harshit A Aggarwal | Dentist | 7630 Little River Tpke Ste 115, Annandale, VA 22003-2610 | 2010-06-11 |
| 1538493275 | Juan Eduardo Alvarez | Dentist | 21287 Southolme Way, Ashburn, VA 20147-6087 | 2009-09-29 |
| 1053543835 | Thomas S Striano | Dentist | 250 S Whiting St, Suite 116, Alexandria, VA 22304-3656 | 2009-08-13 |
| 1811121114 | Dr.s Sullivan, Kaihara & Watkins | Dentist | 6845 Elm St Ste 475, Mc Lean, VA 22101-6051 | 2009-05-14 |
| 1518108935 | Brent Lee Rigby | Dentist | 129 University Blvd Ste B, Harrisonburg, VA 22801-3751 | 2009-03-14 |
| 1922281781 | James Michael Coleman | Dentist | 6969 Richmond Rd, Williamsburg, VA 23188 | 2007-12-14 |
| Find all providers with the same taxonomy | ||||
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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.