Kevin B. Dorsey DDS Inc., a Professional Corporation

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

37976 Issued in CA

Legal business name

KEVIN B. DORSEY DDS INC., A PROFESSIONAL CORPORATION

Practice address

3512 E Florence Ave Ste 204
Huntington Park, CA 90255-5900

Phone

(323) 589-8507

Fax

(323) 589-4154

NPI assigned

Feb 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Brent Dorsey, DDSNPI 1376556597

Title

Owner

Phone

(213) 500-1152

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Brent Dorsey, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Huntington Park, CA
  • NPI 1376556597
  NPD (past) Authorized official

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

{
    "created_epoch": "1518220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1154820686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 E FLORENCE AVE STE 204",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555900",
            "telephone_number": "323-589-8507",
            "fax_number": "323-589-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 E FLORENCE AVE STE 204",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555900",
            "telephone_number": "323-589-8507",
            "fax_number": "323-589-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN B. DORSEY DDS INC., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-10",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-500-1152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "37976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Kawilarang, D.D.S., M.S.D.
• Jessica Kawilarang, D.D.S.
• Richard Keech, M.D.
• Keivan Sarraf, DDS, Inc
• Kenneth Rich MD
• Emil Khalili Sr., DDS
• Suzanne Khalili, DDS
• Jeanne Khuu
• Aaron Kim, DDS
• Bo Kyoung Kim, DDS

• Oral and Maxillofacial Pathology Dentistry in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Oral and Maxillofacial Pathology Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.