Organization Active NPI

Kawano Dental

  • General Practice Dentistry
  • Clovis, CA
National Provider Identifier
1013567882
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KAWANO DENTAL
Practice address
149 N. Clovis Ave.
Suite 101
Clovis, CA 93612-9361
Phone
(559) 299-9518
NPI assigned
Sep 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kelvin Kawano, DDS
Title
General Partner
Phone
(559) 299-9518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

149 N. Clovis Ave.
Suite 101
Clovis, CA 93612-9361

Mailing address

2045 Mesa Ave
Clovis, CA 93611-7512

Other names 1

  • Kelvin H Kawano, DDS Other name

National Provider Directory

National Provider Directory

Locations

149 N Clovis Ave
Ste 101
Clovis, CA 93612
Phone (559) 299-9518

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1013567882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 MESA AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936117512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N. CLOVIS AVE.",
            "address_2": "SUITE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936129361",
            "telephone_number": "559-299-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAWANO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "KAWANO",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "559-299-9518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelvin H Kawano, DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.