K Whelan DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47583 Issued in CA

Legal business name

K WHELAN DDS INC

Doing business as

Beach Dentistry

Practice address

18700 Main St Ste 208
Huntington Beach, CA 92648-1714

Phone

(714) 465-5391

Fax

(714) 465-5391

NPI assigned

Oct 2, 2017

Last updated

Oct 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Whelan, DDS

Title

Owner

Phone

(949) 395-1479

Specialties & licenses 1

Addresses

Other names 1

• Beach Dentistry Doing business as

Locations

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1457861635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 19TH ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483921",
            "telephone_number": "949-395-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 MAIN ST STE 208",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481714",
            "telephone_number": "714-465-5391",
            "fax_number": "714-465-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K WHELAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "WHELAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-395-1479",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sebastian Jurado, D.P.T.
• Kestutis Jusionis, PT
• Justin DO, DDS, Inc
• Juvenile Drug Court
• Farah Juwania Cit Homsi
• K. Chen a P.C.
• Samantha Nicole Kaeding
• Jessica Kain
• Kathleen Kaing
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy 356)

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington 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 Oct 2, 2017; 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.