Individual provider Active NPI

Michael L Kahan, DDS

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1700976669
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6364 Issued in VA
Practice address
2129 General Booth Blvd
Suite 117
Virginia Beach, VA 23454-5872
Phone
(757) 563-8000
Fax
(757) 563-2077
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6364 VA Primary

Addresses

Primary practice location

2129 General Booth Blvd
Suite 117
Virginia Beach, VA 23454-5872

Mailing address

2129 General Booth Blvd
Suite 117
Virginia Beach, VA 23454-5872
Phone (757) 563-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6364VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700976669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 GENERAL BOOTH BLVD",
            "address_2": "SUITE 117",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545872",
            "telephone_number": "757-563-8000",
            "fax_number": "757-563-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 GENERAL BOOTH BLVD",
            "address_2": "SUITE 117",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545872",
            "telephone_number": "757-563-8000",
            "fax_number": "757-563-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHAN",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "6364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.