DR. TAYLOR SMALLEY KANG – Certified Registered Nurse Anesthetist, NPI 1710713839

DR. TAYLOR SMALLEY KANG is a healthcare provider. based in Tulsa, Oklahoma. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. APN.1000454-CRNA (CO). The NPI Number for DR. TAYLOR SMALLEY KANG is 1710713839

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAYLOR SMALLEY KANG
NPI
1710713839
Phone
(417) 260-5252
Address
1722 S CARSON AVE APT 1008
Enumeration Date
13 September 2024
Last Update Date
17 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
9436679941
Group Practice PAC ID
6800878760
Professional Enrollment ID
I20250226003116
Address ID
CO805389004LO2500XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

803 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CO

Provider Addresses for DR. TAYLOR SMALLEY KANG

  • 1722 S CARSON AVE APT 1008

    TULSA, OK 741194640

    Phone: (417) 260-5252

    Type: Mailing

  • 200 EXEMPLA CIR

    LAFAYETTE, CO 800263370

    Phone: (970) 224-2985

    Type: Location

  • 3915 W 119TH MEWS

    WESTMINSTER, CO 800315026

    Phone: (417) 260-5252

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250226003116ICertified Registered Nurse Anesthetist (Crna)COTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74119)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800878760View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CO
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)CO
Certified Registered Nurse Anesthetist (Crna)CO
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YCO
A N E S T H E S I O L O G YCO
Certified Registered Nurse Anesthetist (Crna)CO
A N E S T H E S I O L O G YCO
Certified Registered Nurse Anesthetist (Crna)CO

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Frequently asked questions

How do payers reference DR. TAYLOR SMALLEY KANG?
For DR. TAYLOR SMALLEY KANG, use NPI 1710713839 as the unique 10-digit identifier.
Is there an active status for DR. TAYLOR SMALLEY KANG?
For scheduling context, DR. TAYLOR SMALLEY KANG is shown as active in the registry.
What clinical focus is listed for DR. TAYLOR SMALLEY KANG?
At a glance, DR. TAYLOR SMALLEY KANG is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Oklahoma is DR. TAYLOR SMALLEY KANG registered?
Use Tulsa, Oklahoma as the headline location for DR. TAYLOR SMALLEY KANG here.
Can I trust this NPI listing for DR. TAYLOR SMALLEY KANG?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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