DR. TAEHEON KANG (D.D.S., M.S.) – Periodontics, NPI 1356578025

DR. TAEHEON KANG (D.D.S., M.S.) is a healthcare provider. based in Fairfax, Virginia. specializing in Periodontics. They hold the professional credentials D.D.S., M.S.. They hold a License No. DN18250 (FL). The NPI Number for DR. TAEHEON KANG (D.D.S., M.S.) is 1356578025

Main info

Male
Name
DR. TAEHEON KANG (D.D.S., M.S.)
NPI
1356578025
Phone
(703) 865-5911
Address
11130 Fairfax Blvd Ste 100
Enumeration Date
19 June 2009
Last Update Date
4 July 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

Provider Addresses for DR. TAEHEON KANG (D.D.S., M.S.)

  • 11130 Fairfax Blvd Ste 100

    Fairfax, VA 220305035

    Phone: (703) 865-5911

    Type: Location

  • 3437, Lakeside Drive, Davie, Broward County, Florida, 33328, United States

    DAVIE, FL 333281935

    Phone: (954) 536-1111

    Fax: (703) 865-5913

    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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 22030)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. TAEHEON KANG (D.D.S., M.S.)'s NPI?
Yes. DR. TAEHEON KANG (D.D.S., M.S.) is listed with NPI 1356578025 in the public NPI dataset.
Does the file indicate DR. TAEHEON KANG (D.D.S., M.S.) is practicing under active NPI?
Directory data currently reports DR. TAEHEON KANG (D.D.S., M.S.) as active.
What healthcare role does DR. TAEHEON KANG (D.D.S., M.S.) hold?
Scheduling teams often label DR. TAEHEON KANG (D.D.S., M.S.) under Periodontics. Clinical services aligned with this taxonomy classification.
Where should I expect DR. TAEHEON KANG (D.D.S., M.S.) on a map?
Expect Fairfax, Virginia as a primary anchor for DR. TAEHEON KANG (D.D.S., M.S.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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