Kevin Joseph Faist, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019029102 Issued in IL

Practice address

1815 Via El Prado Ste 200
Redondo Beach, CA 90277-5725

Phone

(310) 316-4477

Fax

(310) 316-4475

NPI assigned

Jul 5, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fulbright and Faist Dental Partnership

  • General Practice Dentistry
  • Redondo Beach, CA
  • NPI 1568247203
  NPD
• Aaron P Gerson DDS

  • Dentist
  • Manhattan Beach, CA
  • NPI 1083727978
  NPD (past)
• Michael T. Fulbright DDS a Professional Corporation

  • Dentist
  • Redondo Beach, CA
  • NPI 1669869087
  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1073878005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 VIA EL PRADO STE 200",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775725",
            "telephone_number": "310-316-4477",
            "fax_number": "310-316-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 VIA EL PRADO STE 200",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775725",
            "telephone_number": "310-316-4477",
            "fax_number": "310-316-4475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902664753",
            "country_code": "US",
            "telephone_number": "310-545-4561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIST",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2023-09-07",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Department Corp
• Kristen Leigh Fabiano, LMFT
• Angel Facey
• David Anthony Fadale
• Faheem Qazi DDS Corp
• Fall Control Systems, LLC
• Family Minds Medical Corporation
• Marissa Pasco Fanco, PT
• Stephanie Farrar, FNP-BC
• Ali Fathi

• General Practice Dentistry in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.