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DR. KELIE KANG
NPI 1679764765
Dentist in Oakland, CA

Active since August 05, 2007PECOS Enrolled
1530 BROADWAY, OAKLAND, CA 94612(510) 251-1000(510) 251-9264 Get Directions Write a Review

NPPES record last updated: August 24, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelie Kang NPPES

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

DR. KELIE KANG (NPI 1679764765) is an individual dentist in Oakland, California, licensed in California (55786) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679764765
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KELIE KANG
Location Address1530 BROADWAYOakland, CA 94612-2002
Mailing Address1333 Gough St, 11fSan Francisco, CA 94109-6562 · (415) 441-1576 · Fax (714) 571-3560
Phone(510) 251-1000
Fax(510) 251-9264
Sole ProprietorNo
Enumeration DateAugust 5, 2007
Last NPPES UpdateAugust 24, 2007
✔ NPI 1679764765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 55786
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.
1530 BROADWAY, Oakland, CA 94612
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Other Identifiers 1

MedicaidD55786CA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelie Kang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94612 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 8

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

DR. MANDIP KAUR CHHINA DDS
Dentist
1530 BROADWAY
OAKLAND, CA 94612
Alameda County (510) 251-1000
DR. MICHAEL JUNG KIM DDS
Dentist
1530 BROADWAY
OAKLAND, CA 94612
Alameda County (510) 251-1000
DR. SEVERINO S ENCANRANCION DDS
Dentist
1530 BROADWAY
OAKLAND, CA 94612
Alameda County (501) 251-1011
DR. QUY THI NGUYEN
Dentist
1530 BROADWAY
OAKLAND, CA 94612
Alameda County (510) 251-1000
MOHAMMAD KHANDAQJI
Dentist
1530 BROADWAY
OAKLAND, CA 94612
Alameda County (510) 251-1011
DR. JOHN JOSEPH KIRBY D.D.S.
Dentist
1530 BROADWAY
OAKLAND, CA 94612
Alameda County (510) 251-1000
MARIANNE WOLFORD DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
1530 BROADWAY
OAKLAND, CA 94612
Alameda County (510) 251-8006
DR. DORA CHAN DMD
Dentist
1530 BROADWAY
OAKLAND, CA 94612
Alameda County (510) 251-1000

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 Kelie Kang's NPI number?

The NPI number for Kelie Kang is 1679764765. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Kelie Kang located?

Kelie Kang practices at 1530 Broadway, Oakland, CA 94612. The listed phone number is (510) 251-1000.

What is Kelie Kang's specialty?

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

Is Kelie Kang enrolled in Medicare?

Yes. Kelie Kang is registered in the Medicare PECOS enrollment system.

What insurance does Kelie Kang accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Kelie 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 Kelie Kang was last updated on August 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.