Kevin L. Jan, D.M.D Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KEVIN L. JAN, D.M.D INC.

Doing business as

Kevin L. Jan, D.M.D INC.

Practice address

176 Auburn CT Ste 3
Westlake Village, CA 91362-3679

Phone

(918) 809-3768

NPI assigned

Nov 10, 2021

Last updated

Nov 10, 2021By 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

Dr. Kevin Jan, DMDNPI 1750800199

Title

Ceo/Owner

Phone

(918) 809-3768

Specialties & licenses 1

Addresses

Other names 1

• Kevin L. Jan, D.M.D INC. Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Liyen Jan, BS, DMD

  • Dentist
  • Westlake Village, CA
  • NPI 1750800199
  NPD Authorized official

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1679239065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 AUBURN CT STE 3",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623679",
            "telephone_number": "918-809-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 AUBURN CT STE 3",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623679",
            "telephone_number": "918-809-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN L. JAN, D.M.D INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "JAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "918-809-3768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kevin L. Jan, D.M.D INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Abraham Kelman, D.P.M
• Jennifer Kendall, PSY.D.
• Debra Kenney, LCSW
• Julie A Kennington
• Kevin a Attaie Pharmaceutical, Inc (PCC Patient Consultation Center)
• Key Health Medical Group
• Misak Khachatryan, PSY.D.
• Dorna Khafajizad
• Rashel Khalfin
• Sana Hasib Khan, OTR/L

• Dental Clinic/Center in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.