Active NPI
Tiffany Jane Kwan, DDS
- Dentist
- Brownsville, TX
National Provider Identifier
1275969404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62871
- Practice address
- 1634 Central Blvd
Brownsville, TX 78520-8337 - Phone
- (916) 505-8115
- NPI assigned
- Sep 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29499 | TX | |
| Dentist | 122300000X | 62871 | CA | Primary |
Addresses
Primary practice location
1634 Central Blvd
Brownsville, TX 78520-8337
Mailing address
725 Heritage PL
Folsom, CA 95630-6242
Phone (916) 505-8115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29499 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1275969404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 HERITAGE PL",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306242",
"telephone_number": "916-505-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1634 CENTRAL BLVD",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785208337",
"telephone_number": "916-505-8115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAN",
"first_name": "TIFFANY",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-19",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29499",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.