Individual provider Active NPI

Kevin Chinglin Kwan, DDS

  • Dentist
  • Huntington Beach, CA
National Provider Identifier
1962782011
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61607 Issued in CA
Practice address
6552 Bolsa Ave
Suite # F
Huntington Beach, CA 92647-2660
Phone
(714) 893-8517
Fax
(714) 893-0788
NPI assigned
Aug 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61607 CA Primary

Addresses

Primary practice location

6552 Bolsa Ave
Suite # F
Huntington Beach, CA 92647-2660

Mailing address

6552 Bolsa Ave
Suite # F
Huntington Beach, CA 92647-2660
Phone (714) 893-8517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803003181 CA Order and Referring Only - DentistPractitioner - Dentist 1759675424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Danny Kwan DDS Inc Dentist 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": "1313884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1962782011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6552 BOLSA AVE",
            "address_2": "SUITE # F",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472660",
            "telephone_number": "714-893-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6552 BOLSA AVE",
            "address_2": "SUITE # F",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472660",
            "telephone_number": "714-893-8517",
            "fax_number": "714-893-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "KEVIN",
        "middle_name": "CHINGLIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-21",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.