TAE HYUNG KANG (NPI# 1407379639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407379639 |
| Entity Type | Individual |
| Full Name | TAE HYUNG KANG |
| Credential | DMD |
| Practice Address |
8400 Ne Vancouver Mall Loop Vancouver WA 98662-6671 |
| Mailing Address |
14954 Nw Olive St Portland OR 97229-7020 |
| Practice Telephone | 3604506639 |
| Mailing Telephone | 5039013558 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D10675 | OR | Dental Providers |
| N | 122300000X | Dentist | 60760032 | WA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12266 Sw Scholls Ferry Rd, Tigard, OR 972233354 | 5034558483 |
| Street Address |
8400 NE VANCOUVER MALL LOOP |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-6671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899117 | Judy Chan | Optometrist | 8400 Ne Vancouver Mall Loop, Suite 110, Vancouver, WA 98662-6648 | 2005-05-31 |
| 1285248609 | Tiffanie T Truong | Dentist | 8400 Ne Vancouver Mall Loop, Vancouver, WA 98662-6671 | 2020-09-02 |
| 1790230506 | Elizabeth Ann Mcelhinney | Dentist | 8400 Ne Vancouver Mall Loop, Vancouver, WA 98662-6671 | 2016-08-22 |
| 1285804617 | Precision Eye Care Ps | Preferred Provider Organization | 8400 Ne Vancouver Mall Loop, Suite 110, Vancouver, WA 98662-6648 | 2008-02-29 |
| 1528168168 | Leah L. Ray | Optometrist | 8400 Ne Vancouver Mall Loop, Suite 110, Vancouver, WA 98662-6671 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787088 | Andrey Vorobets | Dentist | 12403 Ne 20th St, Vancouver, WA 98684-5566 | 2020-07-21 |
| 1689207318 | Beatriz Ellen Fortanely | Dentist | Ubc Faculty of Dentistry, 2151 Wesbrook Mall, Vancouver, BC V6T 1Z3 | 2020-02-21 |
| 1891258711 | Washington Dental Corporation, PC | Dentist | 14411 Ne Fourth Plain, Suite 134, Vancouver, WA 98682 | 2019-04-08 |
| 1356819403 | Kesang Yangchen Norbhu | Dentist | 7202 Ne Highway 99 Ste 100, Vancouver, WA 98665-8932 | 2018-11-07 |
| 1326514803 | Haseeb Hussain | Dentist | 8400 Ne Vancouver Mall Loop Ste 105, Vancouver, WA 98662-6672 | 2018-10-22 |
| 1023584877 | Always Smiles Dentistry | Dentist | 910 Ne Minnehaha St #12, Vancouver, WA 98665 | 2018-10-19 |
| 1730664772 | Thomas Shogo Backus | Dentist | 503 Nw 84th Cir, Vancouver, WA 98665-7720 | 2018-09-25 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1831699198 | Isabel Ane Sobrado | Dentist | 12425 Ne 20th St, Vancouver, WA 98684-5566 | 2018-02-13 |
| 1689197808 | Shawn P Platt | Dentist | 1300 Esther St Ste 101, Vancouver, WA 98660-2890 | 2017-07-19 |
| Find all providers in VANCOUVER | ||||
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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.