Organization Active NPI

Kean Dental Inc

Doing business as Orange County Dental Specialists

Prosthodontics
Irvine, CA

National Provider Identifier

1720302540

Registry record updated Mar 23, 2010

On this page

Key facts
NPPES NPI Registry
National Provider Directory
NPI Registry JSON
Other providers in Irvine, CA
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: ProsthodonticsTaxonomy code 1223P0700X
License: 57195 Issued in CA
Legal business name: KEAN DENTAL INC
Doing business as: Orange County Dental Specialists
Practice address: 15825 Laguna Canyon Rd Ste 206
Irvine, CA 92618-2127
Phone: (949) 789-8989
Fax: (949) 453-0970
NPI assigned: Mar 23, 2010
Last updated: Mar 23, 2010By the provider in NPPES
Organization subpart: No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name: Dr. Kevin Christopher Kean, DDS
Title: President
Phone: (949) 789-8989

Specialties & licenses 12

Specialty (taxonomy)	Code	License	State	Primary
Endodontics	1223E0200X	58039	CA
Endodontics	1223E0200X	51085	CA
General Practice Dentistry	1223G0001X	57739	CA
Pediatric Dentistry	1223P0221X	49934	CA
Periodontics	1223P0300X	24573	CA
Periodontics	1223P0300X	32308	CA
Prosthodontics	1223P0700X	30399	CA
Prosthodontics	1223P0700X	57195	CA	Primary
Oral and Maxillofacial Surgery (Dentist)	1223S0112X	53163	CA
Oral and Maxillofacial Surgery (Dentist)	1223S0112X	56328	CA
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	53246	CA
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	30693	CA

Addresses

Primary practice location

15825 Laguna Canyon Rd Ste 206
Irvine, CA 92618-2127

Mailing address

15825 Laguna Canyon Rd Ste 206
Irvine, CA 92618-2127
Phone (949) 789-8989

Other identifiers 11

Identifier	Type	State	Issuer
1609944867	Other	CA	STEVE MIAO
1164698379	Other	CA	FADI KATTAR
1598916058	Other	CA	ALAN SHELHAMER
1598916058	Other	CA	KEVIN KEAN
1912114059	Other	CA	ALI MANOUCHEHRI
1245459379	Other	CA	MASSOUD KASHANCHI
1720117534	Other	CA	HAMILTON LE
1184678930	Other	CA	CHRISTOPHER PACE
1801003637	Other	CA	BRIAN THAI
1124034129	Other	CA	WILLIAM MIHRAM
1225118417	Other	CA	SAM GILANI

Other names 1

Orange County Dental Specialists Doing business as

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1720302540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15825 LAGUNA CANYON RD STE 206",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182127",
            "telephone_number": "949-789-8989",
            "fax_number": "949-453-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 LAGUNA CANYON RD STE 206",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182127",
            "telephone_number": "949-789-8989",
            "fax_number": "949-453-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEAN DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "KEAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-789-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "58039",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "51085",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57739",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "49934",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "24573",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "32308",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "30399",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "57195",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "53163",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "56328",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "53246",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "30693",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEVE MIAO",
            "identifier": "1609944867",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FADI KATTAR",
            "identifier": "1164698379",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALAN SHELHAMER",
            "identifier": "1598916058",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEVIN KEAN",
            "identifier": "1598916058",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALI MANOUCHEHRI",
            "identifier": "1912114059",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSOUD KASHANCHI",
            "identifier": "1245459379",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAMILTON LE",
            "identifier": "1720117534",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRISTOPHER PACE",
            "identifier": "1184678930",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRIAN THAI",
            "identifier": "1801003637",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WILLIAM MIHRAM",
            "identifier": "1124034129",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAM GILANI",
            "identifier": "1225118417",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange County Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.