MR. EUGENE KYUNGMOOK KHANG DMD
NPI 1265518880
Dentist - General Practice in Cambridge, MA

Active since October 27, 2006Opted out of Medicare · through Mar 17, 2028
30 PROSPECT ST, CAMBRIDGE, MA 02139(617) 576-5300 Get Directions Write a Review

NPPES record last updated: July 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Eugene Kyungmook Khang Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EUGENE KYUNGMOOK KHANG DMD (NPI 1265518880) is an individual general practice provider in Cambridge, Massachusetts, licensed in Massachusetts (21214) and active in the NPI registry since October 2006. He has opted out of Medicare through March 17, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265518880
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. EUGENE KYUNGMOOK KHANGCredential: DMD
Location Address30 PROSPECT STCambridge, MA 02139-2401
Mailing Address30 Prospect StCambridge, MA 02139-2401 · (617) 576-5300
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 10, 2012
NPI 1265518880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MA · 21214
Definition
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.
30 PROSPECT ST, Cambridge, MA 02139

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. Eugene Kyungmook Khang Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 17, 2016 through March 17, 2028.

Opt-Out Effective DateMarch 17, 2016
Opt-Out In Effect ThroughMarch 17, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02139 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
30 PROSPECT ST
CAMBRIDGE, MA 02139
Dentist
30 PROSPECT ST
CAMBRIDGE, MA 02139

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eugene Khang's NPI number?

The NPI number for Eugene Khang is 1265518880. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Eugene Khang located?

Eugene Khang practices at 30 Prospect St, Cambridge, MA 02139. The listed phone number is (617) 576-5300.

What is Eugene Khang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Eugene Khang enrolled in Medicare?

No. Eugene Khang has opted out of Medicare through March 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Eugene Khang accept?

Health plans from Anthem Blue Cross and Blue Sheld, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Eugene Khang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eugene Khang was last updated on July 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.