California Kidds Pediatric Dentistry, a Dental Practice of Evans, Kunk

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CALIFORNIA KIDDS PEDIATRIC DENTISTRY, A DENTAL PRACTICE OF EVANS, KUNK

Practice address

1168 Olivewood Dr
Merced, CA 95348-1210

Phone

(559) 439-5300

NPI assigned

May 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Evans, DDS

Title

Owner

Phone

(559) 367-9459

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ridila Khan, DDS

  • Pediatric Dentistry
  • Fresno, CA
  • NPI 1730882457
  NPD (past)

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1700460144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SHAW AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114209",
            "telephone_number": "559-439-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 OLIVEWOOD DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481210",
            "telephone_number": "559-439-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA KIDDS PEDIATRIC DENTISTRY, A DENTAL PRACTICE OF EVANS, KUNK",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-367-9459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consuelo Caldera
• Ashleigh Nichole Calderon
• Krista Marie Calhoun, FNP
• California Forensic Medical Group, Inc. (CFMG)
• California Home Care and Hospice, Inc.
• Kendall E Callister, M.F.T
• Jenny Camacho
• Sonia Camarillo Medina Jauregui
• Abraham A. Camello
• Ruby Cabreros Camello, FNP-C

• Pediatric Dentistry in Merced, CA
• Providers in Merced, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.