Active NPI
Brett Scott McKean, DDS
- Dentist
- Riverside, CA
National Provider Identifier
1902516859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108021
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
dba Rancho Dental Group
- General Practice Dentistry
- Riverside, CA
- NPI 1922167386
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.