DR. KENNETH JOHN BEVAN D.D.S.
NPI 1003960030
Dentist - General Practice in Napa, CA

Q: What is Kenneth Bevan's NPI number?

The NPI number for Kenneth Bevan is 1003960030. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Q: What is Kenneth Bevan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Bevan was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 23, 2007

3434 VILLA LN STE 100, NAPA, CA 94558(707) 255-3007(707) 255-2820 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kenneth John Bevan D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH JOHN BEVAN D.D.S. (NPI 1003960030) is an individual general practice provider in Napa, California, licensed in Idaho (D3385) and active in the NPI registry since January 2007. He maintains a secondary practice location in Hayden.

NPPES Registry Identity

NPI1003960030

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KENNETH JOHN BEVANCredential: D.D.S.

Location Address3434 VILLA LN STE 100Napa, CA 94558-6414

Mailing Address3434 Villa Ln Ste 100Napa, CA 94558-6414 · (707) 255-3007 · Fax (707) 255-2820

Phone(707) 255-3007

Fax(707) 255-2820

Sole ProprietorNo

Enumeration DateJanuary 23, 2007

Last NPPES UpdateSeptember 5, 2019

✔ NPI 1003960030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ID · D3385

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3434 VILLA LN STE 100, Napa, CA 94558

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Secondary Practice Location 1

Location 11683 E Miles AveHayden, ID 83835-9109 · Phone (208) 772-4066 · Fax (208) 772-2985

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Bevan's NPI number?

The NPI number for Kenneth Bevan is 1003960030. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Kenneth Bevan located?

Kenneth Bevan practices at 3434 Villa Ln Ste 100, Napa, CA 94558. The listed phone number is (707) 255-3007.

What is Kenneth Bevan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kenneth Bevan was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.