NPIMap

Organization Active NPI

K and K Healthy Living Company

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1851563324
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44629 Issued in CA
Legal business name
K AND K HEALTHY LIVING COMPANY
Practice address
2538 N Hesperian St
Santa Ana, CA 92706-1434
Phone
(714) 488-3933
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dennis Kudlik, DDS
Title
Vice President
Phone
(714) 609-4216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 44629 CA Primary

Addresses

Primary practice location

2538 N Hesperian St
Santa Ana, CA 92706-1434

Mailing address

2538 N Hesperian St
Santa Ana, CA 92706-1434

Other names 1

  • Sleep Fabulous Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1851563324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 N HESPERIAN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927061434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 N HESPERIAN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927061434",
            "telephone_number": "714-488-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K AND K HEALTHY LIVING COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "KUDLIK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-609-4216",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Fabulous",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.