SUSAN KANG
NPI 1326425679
Dentist in Kenosha, WI

Q: What is Susan Kang's NPI number?

The NPI number for Susan Kang is 1326425679. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Q: What is Susan Kang's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Susan Kang enrolled in Medicare?

No. Susan Kang has opted out of Medicare through August 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Susan Kang was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 06, 2015Opted out of Medicare · through Aug 31, 2027

12752 71ST ST APT 101, KENOSHA, WI 53142(708) 217-8489 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 13, 2017 (2 updates tracked since 2017).

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About Susan Kang NPPES

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

SUSAN KANG (NPI 1326425679) is an individual dentist in Kenosha, Wisconsin, licensed in Wisconsin (1001464) and active in the NPI registry since May 2015. She has opted out of Medicare through August 31, 2027.

NPPES Registry Identity

NPI1326425679

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSUSAN KANG

Location Address12752 71ST ST APT 101Kenosha, WI 53142-8428

Mailing Address12752 71st St Apt 101Kenosha, WI 53142-8428 · (708) 217-8489

Phone(708) 217-8489

Sole ProprietorYes

Enumeration DateMay 6, 2015

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1326425679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in WI · 1001464✔ Licensed in IL · 019030713

Definition

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.

12752 71ST ST APT 101, Kenosha, WI 53142

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Susan Kang 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 August 31, 2021 through August 31, 2027.

Opt-Out Effective DateAugust 31, 2021

Opt-Out In Effect ThroughAugust 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Susan Kang's NPI number?

The NPI number for Susan Kang is 1326425679. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Where is Susan Kang located?

Susan Kang practices at 12752 71st St Apt 101, Kenosha, WI 53142. The listed phone number is (708) 217-8489.

What is Susan Kang's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Susan Kang enrolled in Medicare?

No. Susan Kang has opted out of Medicare through August 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Susan Kang accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Susan Kang 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 Susan Kang was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.