Caleb Kyungsup Jang, DDS
NPI 1629567284ActiveIndividual· Dentist, General Practice· Waldorf, MD
Dentist, General Practice (DDS) in Waldorf, Maryland, licensed in MD, DC and VA, with an NPI issued in May 2018.
Overview
| NPI | 1629567284 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | May 8, 2018 |
| Last updated in NPPES | Nov 7, 2020 |
| Certified by provider | Nov 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 17227 | MD |
| Dentist, General Practice | 1223G0001X | DEN1001883 | DC |
| Dentist, General Practice | 1223G0001X | 0401416443 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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