Kevin Fang, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DDS102717 Issued in CA

Practice address

8906 San Bernardino Rd Ste 130
Rancho Cucamonga, CA 91730-8806

Phone

(909) 944-0152

NPI assigned

Nov 4, 2018

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

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.

• Kevin Fang DMD Dental Corporation

  • Dental Clinic/Center
  • Monrovia, CA
  • NPI 1821884909
  NPD Authorized official

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

{
    "created_epoch": "1541289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541289600000",
    "number": "1609344043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E NORMAN AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910064733",
            "telephone_number": "626-215-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 SAN BERNARDINO RD STE 130",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308806",
            "telephone_number": "909-944-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "KEVIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-04",
        "last_updated": "2018-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS102717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family 1St Primary Care
• Family Dentistry at Turner Plaza
• Family Horizons Inc.
• Stacie Lynn Fanelli, LCSW
• John Fang, L.AC.
• Stephanie Fang
• Jennifer Fannin
• Kimberly Fanning-Shiles, LMFT
• Samy Saad Farag, PHARMACIST
• Rita Farfan, RBT

• Dentist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2018; 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.