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KEVIN BRANDON TAN DDS
NPI 1821499856
Dentist - General Practice in San Diego, CA

Active since September 09, 2014
11665 AVENA PL STE 105, SAN DIEGO, CA 92128(858) 674-6161 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2023, Nov 14, 2022 (2 updates tracked since 2022).

About Kevin Brandon Tan Dds NPPES

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

KEVIN BRANDON TAN DDS (NPI 1821499856) is an individual general practice provider in San Diego, California, licensed in California (63870) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1821499856
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKEVIN BRANDON TANCredential: DDS
Location Address11665 AVENA PL STE 105San Diego, CA 92128-2427
Mailing Address11665 Avena Pl Ste 105San Diego, CA 92128-2427 · (858) 674-6161
Phone(858) 674-6161
Sole ProprietorNo
Enumeration DateSeptember 9, 2014
Last NPPES UpdateAugust 17, 20232 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1821499856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · 63870✔ Licensed in NV · 6525
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.
11665 AVENA PL STE 105, San Diego, CA 92128
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Accepted Insurance

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN TAN DDS INC
Dentist (General Practice)
11665 AVENA PL STE 105
SAN DIEGO, CA 92128
San Diego County (858) 674-6161

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 Tan's NPI number?

The NPI number for Kevin Tan is 1821499856. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Where is Kevin Tan located?

Kevin Tan practices at 11665 Avena Pl Ste 105, San Diego, CA 92128. The listed phone number is (858) 674-6161.

What is Kevin Tan's specialty?

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

What insurance does Kevin Tan accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Kevin Tan 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 Tan was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.