Jennifer Kan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17149 Issued in TX

Practice address

4724 Sweetwater Blvd Ste 105
Sugar Land, TX 77479-3150

Phone

(281) 277-6453

Fax

(281) 277-6456

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1295808558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 SWEETWATER BLVD STE 105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793150",
            "telephone_number": "281-277-6453",
            "fax_number": "281-277-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 SWEETWATER BLVD STE 105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793150",
            "telephone_number": "281-277-6453",
            "fax_number": "281-277-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1209264-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Kamage
• Sarah Tarawaly Kamara, AGACNP-BC, FNP-C
• Swarna Kamble, MD
• Sagar Kamprath, M.D.
• Lisa K Kampwerth, LCSW
• Wael Kanaan
• Vikas S Kancherla, M.D.
• Ranganath Kandala, MD
• Justin Kang, DDS
• Ezenwanyi Queen Kanu, FNP

• General Practice Dentistry in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.