ELAINE T. SHIM, DDS, PC (NPI# 1508036781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508036781 |
| Entity Type | Organization |
| Organization Name | ELAINE T. SHIM, DDS, PC |
| Practice Address |
1550 N Green Valley Pkwy #350 Henderson NV 89074-7108 |
| Practice Telephone | 7025671887 |
| Mailing Telephone | 7025671887 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | DR. ELAINE T SHIM (PRESIDENT) |
| Authorized Official Telephone | 7025671887 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 3525 | NV | Ambulatory Health Care Facilities |
| Street Address |
1550 N GREEN VALLEY PKWY #350 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665676 | Vitality Restored Chiropractic and Wellness Center | Clinic/Center | 1742 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89012-4833 | 2019-08-19 |
| 1891265997 | Elite Beg Limited Liability Co | Clinic/Center | 209 S Stephanie St # B177, Henderson, NV 89012-5501 | 2018-11-30 |
| 1215330014 | The Gateway Center Las Vegas | Clinic/Center | 74 North Pecos, Suite C, Henderson, NV 89074-7344 | 2014-10-07 |
| 1154510907 | American Current Care Pa | Clinic/Center | 149 N Gibson Road, Suite H, Henderson, NV 89014 | 2007-10-17 |
| 1457355125 | Matthew 25 Aids Services Inc | Clinic/Center | 452 Old Corydon Rd, Henderson, KY 42420-4645 | 2005-06-09 |
| 1104440692 | Las Vegas Scripts Care LLC | Clinic/Center | 2920 N Green Valley Pkwy Ste 814, Henderson, NV 89014-0409 | 2020-06-01 |
| 1295386936 | Vegas Md | Clinic/Center | 11201 S Eastern Ave Ste 110, Henderson, NV 89052-6200 | 2019-09-24 |
| 1942787122 | Desert Dietitians LLC | Clinic/Center | 2470 W Horizon Ridge Pkwy Ste 120, Henderson, NV 89052-2733 | 2018-07-20 |
| 1881196012 | Bamboo Family Clinic LLC | Clinic/Center | 98 E Lake Mead Pkwy Ste 307, Henderson, NV 89015-6444 | 2018-03-03 |
| 1255751293 | Thomas Dermatology | Clinic/Center | 866 Seven Hills Dr Ste 201, Henderson, NV 89052 | 2014-04-17 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.