Individual provider Active NPI

Brett Scott McKean, DDS

  • Dentist
  • Riverside, CA
National Provider Identifier
1902516859
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108021 Issued in CA
Practice address
1744 University Ave
Riverside, CA 92507-5364
Phone
(951) 782-9585
NPI assigned
Dec 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 108021 CA Primary

Addresses

Primary practice location

1744 University Ave
Riverside, CA 92507-5364

Mailing address

4997 Brookhill PL
Riverside, CA 92507-5911
Phone (951) 907-9653

Other practice location 1

675 E Grand Blvd
Corona, CA 92879-2258
Phone (951) 272-1233

Other practice location 2

5800 Van Buren Blvd Ste 110
Riverside, CA 92503-9031
Phone (951) 688-0046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Flores, Sobero, and Yabar Dental Corporation Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1902516859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4997 BROOKHILL PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075911",
            "telephone_number": "951-907-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 UNIVERSITY AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075364",
            "telephone_number": "951-782-9585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 E Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928792258",
            "country_code": "US",
            "telephone_number": "951-272-1233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5800 Van Buren Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925039031",
            "country_code": "US",
            "telephone_number": "951-688-0046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEAN",
        "first_name": "BRETT",
        "middle_name": "SCOTT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.