Active NPI
Kelvin Hisao Kawano, DDS
- General Practice Dentistry
- Clovis, CA
National Provider Identifier
1972634343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29940
- Practice address
- 180 W Bullard Ave Ste 101
Clovis, CA 93612-0998 - Phone
- (559) 299-9518
- Fax
- (559) 323-8505
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 29940 | CA | Primary |
Addresses
Primary practice location
180 W Bullard Ave Ste 101
Clovis, CA 93612-0998
Mailing address
180 W Bullard Ave Ste 101
Clovis, CA 93612-0998
Phone (559) 299-9518
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29940 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972634343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 W BULLARD AVE STE 101",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936120998",
"telephone_number": "559-299-9518",
"fax_number": "559-323-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 W BULLARD AVE STE 101",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936120998",
"telephone_number": "559-299-9518",
"fax_number": "559-323-8505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAWANO",
"first_name": "KELVIN",
"middle_name": "HISAO",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "29940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- 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.