Kenneth Fan, D.D.S.
NPI 1588986566 · Orofacial Pain Dentistry · Jbsa Lackland Afb, TX
Kenneth Fan, D.D.S. is a Orofacial Pain Dentistry provider in Jbsa Lackland Afb, TX (NPI 1588986566).
Provider details
- NPI number
- 1588986566
- Entity type
- Individual
- Primary specialty
- Orofacial Pain DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DDS61109 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
16 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$14 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-02-18
- Last updated
- 2023-08-14
- Certified
- 2023-08-11
Frequently asked questions
- What is Kenneth Fan's NPI number?
- Kenneth Fan's National Provider Identifier (NPI) is 1588986566, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Fan's specialty?
- Kenneth Fan is listed in the NPPES registry with a primary specialty of Orofacial Pain Dentistry (Dental Providers).
- Where is Kenneth Fan located?
- Kenneth Fan's practice location on file with NPPES is 1110 Wilford Hall Loop, Jbsa Lackland Afb, TX 78236.
- What is Kenneth Fan's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Fan is (210) 539-7866.
- Is Kenneth Fan's NPI active?
- Yes — Kenneth Fan's NPI (1588986566) is active in the NPPES registry as of the last update on 2023-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.