Kevin Liyen Jan, BS, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

101500 Issued in CA

Practice address

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

Phone

(918) 809-3768

NPI assigned

Sep 18, 2017

Last updated

Nov 10, 2021By the provider in NPPES

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

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kevin L. Jan, D.M.D Inc.

  • Dental Clinic/Center
  • Westlake Village, CA
  • NPI 1679239065
  NPD Authorized official
• Jan Vasquez Dental Corporation

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1417744350
  NPD

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1750800199",
    "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": "805-370-6390"
        },
        {
            "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": {
        "last_name": "JAN",
        "first_name": "KEVIN",
        "middle_name": "LIYEN",
        "name_prefix": "Dr.",
        "credential": "BS, DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-18",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Jacoby, M.A, LMFT
• Briana Jacquet-James, LCSW
• Mehrdad Jafarian
• James E Landen MD Inc.
• Jamie Cohen, O.D., Inc
• Doreen Louise Jansen, MA
• Sadie Mae Wehn Janssens, MFT,PH.D.
• Jared Weiss DDS, Inc.
• Valerie Jauregui, BA, RBT
• Rupal Javia, D.D.S.

• Dentist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Dentist 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.