Ken Wilkens MD, Inc.

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

License

A80116 Issued in CA

Legal business name

KEN WILKENS MD, INC.

Practice address

26730 Crown Valley Pkwy
Suite 200
Mission Viejo, CA 92691-6364

Phone

(949) 364-2154

Fax

(949) 364-2110

NPI assigned

Apr 19, 2007

Last updated

Jul 26, 2007By 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. Kenneth James Wilkens, M.D.

Title

President

Phone

(949) 364-2154

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1851518880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26730 CROWN VALLEY PKWY",
            "address_2": "SUITE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916364",
            "telephone_number": "949-364-2154",
            "fax_number": "949-364-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26730 CROWN VALLEY PKWY",
            "address_2": "SUITE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916364",
            "telephone_number": "949-364-2154",
            "fax_number": "949-364-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN WILKENS MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "WILKENS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-364-2154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "A80116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1 (PERSONAL)",
            "identifier": "1679519649",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "I28424",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Keenan
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• Jami Kemp
• Daniel H Kempff, D.C.
• Kathryn Eloise Kennedy, PA-C
• Tami Beth Kennedy, NP
• Kenneth K Paddie a Professional Corp
• Melissa Lynn Kenney, MFT
• Marissa Anne Kent, MS, RD

• Orthopaedic Trauma Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Orthopaedic Trauma Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.