Kevin Hofilena Obana, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

112247 Issued in CA

Practice address

1725 W 6TH St
Los Angeles, CA 90017-1000

Phone

(213) 413-5151

NPI assigned

Aug 16, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Plev Bright PLC

  • Dentist
  • Brighton, MI
  • NPI 1336673581
  NPD (past)

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1508531104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S YNEZ AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917543832",
            "telephone_number": "313-338-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171000",
            "telephone_number": "213-413-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBANA",
        "first_name": "KEVIN",
        "middle_name": "HOFILENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-16",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601120",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "112247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oasis Supported Living LLC
• Jon Charles Oatey, D.C.
• Bryan Deondre Oats
• Kimberlie M Oatts
• Irene Diane Oaxaca, R.N.
• Oband Medical Group, Inc.
• Glenda Y Obando
• Maria Venus Membrere Obando, D.D.S.
• Osagie Obanor
• Carmen Obasi

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.