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Deactivated NPI 1467893180 Deactivated / Inactive NPI Female Practitioner

Dr. Cindy S Kang , DDS

Dentist - General Practice • Everett, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Cindy Kang has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 10, 2013
NPI Deactivation Date July 06, 2023
Total Practice Duration ~10 Years of Practice (2013 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Cindy Kang, DDS was a registered Dentist - General Practice practicing in Everett, MA. Throughout an active medical career spanning 10 years, Dr. Kang provided care at the practice location at 439 BROADWAY until profile deactivation on 2023-07-06.

Practice Location & Contact Primary Location

Practice Address

439 Broadway

Everett, MA 021493612

Telephone 6179449627
Associated Practice Facility / Clinic
🏢 City Dental Llc Facility NPI 1467721969

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Everett, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
20 Specialists

Practicing in Everett, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN1856333

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1346618899

Doctor of Dental Medicine

Dr. Venu Kallam , DMD

Dentist - General Practice

NPI 1518120013

Doctor of Dental Medicine

NPI 1932650983

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
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NPI Profile Deactivated July 06, 2023

Record deactivated on July 06, 2023

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Updated Practice Location April 27, 2023

Registered at 6000 MCKINNEY RANCH PKWY STE 100, MCKINNEY, TX 750706310 (Tel: 9725425414)

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Updated Business Mailing Address April 27, 2023

Registered at 17652 PINYON LN, DALLAS, TX 752528011 (Tel: 7138358099)

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Provider Name / Credentials Updated April 27, 2023

Recorded as CINDY CHO, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Dentist (License #DN1856333 in MA)

NPI Profile Active June 27, 2017

NPI status registered as active in NPPES database

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Updated Practice Location June 27, 2017

Registered at 15950 ELDORADO PKWY STE 100, FRISCO, TX 750355816 (Tel: 9725409977)

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Updated Business Mailing Address June 27, 2017

Registered at 1440 CARROLLTON PKWY APT 24101, CARROLLTON, TX 750101378 (Tel: (713) 835-8099)

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Provider Name / Credentials Updated June 27, 2017

Recorded as CINDY KANG, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2017

Dentist (License #28972 in TX)

NPI Profile Active July 10, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 10, 2013

Registered at 439 BROADWAY, EVERETT, MA 021493612 (Tel: 6179449627)

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Updated Business Mailing Address July 10, 2013

Registered at 180 BROOKLINE AVE UNIT 440, BOSTON, MA 022153926 (Tel: 7138358099)

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Provider Name / Credentials Updated July 10, 2013

Recorded as CINDY KANG, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2013

Dentist (License #DN1856333 in MA)

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Initial NPI Registration & Enumeration July 10, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467893180
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2013
Last Update: July 10, 2013
Deactivation Date: July 06, 2023

Mailing Address

180 Brookline Ave Unit 440

Boston, MA 022153926

Phone: 7138358099

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.