Kenneth E Way Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DG 26936 Issued in CA

Practice address

18520 Burbank Blvd
#102
Tarzana, CA 91356-2685

Phone

(818) 345-7161

NPI assigned

Mar 11, 2007

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891827325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5163 GARDEN GROVE AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18520 BURBANK BLVD",
            "address_2": "#102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562685",
            "telephone_number": "818-345-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAY",
        "first_name": "KENNETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DG 26936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexzandria Washington, M.S., BCBA
• Angela Washington
• Melissa Wasserman, PSYD
• Valerie Leigh Watiker, M.D.
• Matthew Thomas Watkins, OTD, OTR/L
• We Rock the Spectrum Kid'S Gym, LLC
• Fred Lee Weiner, DDS
• Michael I Weinper, MPH PT
• Brianna Kathy-Carrillo Weise
• Robert A Weissman, M.D.

• General Practice Dentistry in Tarzana, CA
• Providers in Tarzana, CA by specialty
• General Practice Dentistry in California

• 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.