Kenneth S Kwan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25079 Issued in CA

Practice address

4906 El Camino Real
Los Altos, CA 94022-1449

Phone

(650) 960-0156

Fax

(650) 960-1248

NPI assigned

Jul 21, 2006

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417977232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 EL CAMINO REAL",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221449",
            "telephone_number": "650-960-0156",
            "fax_number": "650-960-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 EL CAMINO REAL",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221449",
            "telephone_number": "650-960-0156",
            "fax_number": "650-960-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "KENNETH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Einat Klopfer Cohen
• Richard Thomas Knowles, M.A.
• Allison Rae Kowalczyk, M.S.
• Allan Kramer, M.D.
• Angela Krumm, PH.D.
• Yi Hsuan Lai, DPT
• Kai Yee Lam, RPH
• TSZ Ki Lam, LPCC, LMHC
• Alessandra Landgraf
• Francis Lastufka, MD

• General Practice Dentistry in Los Altos, CA
• Providers in Los Altos, 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 Jul 8, 2007; 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.