KENNETH FAN D.D.S.
NPI 1588986566
Dentist - Orofacial Pain in Jbsa Lackland Afb, TX

NPI Status: Active since February 18, 2010

Contact Information

1110 WILFORD HALL LOOP
JBSA LACKLAND AFB, TX
ZIP 78236
Phone: (210) 539-7866

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  • Individual
  • Male
  • Dentist
  • Orofacial Pain

About KENNETH FAN

This page provides the complete NPI Profile along with additional information for Kenneth Fan, a provider established in Jbsa Lackland Afb, Texas with a medical specialization in Dentist, focusing in orofacial pain . The healthcare provider is registered in the NPI registry with number 1588986566 assigned on February 2010. The practitioner's primary taxonomy code is 1223X2210X with license number DDS61109 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1588986566
Provider Name
KENNETH FAN D.D.S.
Gender
Male
Entity Type
Individual
Location Address
1110 WILFORD HALL LOOP JBSA LACKLAND AFB, TX 78236
Location Phone
(210) 539-7866
Mailing Address
1110 WILFORD HALL LOOP JBSA LACKLAND AFB, TX 78236
Is Sole Proprietor?
Yes
Enumeration Date
02-18-2010
Last Update Date
08-14-2023
Code Navigator

A dentist like Kenneth Fan is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Orofacial Pain

Taxonomy Code
1223X2210X
Type
Dental Providers
License No.
DDS61109
License State
CA
Taxonomy Description
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588986566, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 1 + 8 + 8 + 1 + 2 + 5 + 1 + 2 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1588986566.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacist
1110 WILFORD HALL LOOP, BLDG 4554
JBSA-LACKLAND, TX 78236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588986566, enumerated as an "individual" on February 18, 2010.

The provider is located at 1110 WILFORD HALL LOOP JBSA LACKLAND AFB, TX 78236 and the phone number is (210) 539-7866.

Dentist with taxonomy code 1223X2210X and a focus in Orofacial Pain.