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KEVIN TAN BIBERA DDS
NPI 1770196024
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since August 26, 2020
875 UNION AVENUE SUITE C211, MEMPHIS, TN 38163(901) 448-7180 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2022, Aug 26, 2020 (2 updates tracked since 2020).

About Kevin Tan Bibera Dds NPPES

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

KEVIN TAN BIBERA DDS (NPI 1770196024) is an individual student in an organized health care education/training program in Memphis, Tennessee, licensed in California (105025) and active in the NPI registry since August 2020. He maintains a secondary practice location in Tehachapi.

NPPES Registry Identity

NPI1770196024
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN TAN BIBERACredential: DDS
Location Address875 UNION AVENUE SUITE C211Memphis, TN 38163-8781
Mailing Address1854 Claire CtConcord, CA 94519-2359 · (424) 325-9270
Phone(901) 448-7180
Sole ProprietorNo
Enumeration DateAugust 26, 2020
Last NPPES UpdateApril 27, 20222 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1770196024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · 105025
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 105025 (CA)
875 UNION AVENUE SUITE C211, Memphis, TN 38163
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Secondary Practice Location 1

Location 120406 Brian Way # 2Tehachapi, CA 93561-8781 · Phone (661) 822-6706

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Kevin Bibera's NPI number?

The NPI number for Kevin Bibera is 1770196024. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Kevin Bibera located?

Kevin Bibera practices at 875 Union Avenue Suite C211, Memphis, TN 38163. The listed phone number is (901) 448-7180.

What is Kevin Bibera's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

What insurance does Kevin Bibera accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Kevin Bibera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Bibera was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.