DR. MIN KYU KIM (NPI# 1669600896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669600896 |
| Entity Type | Individual |
| Full Name | DR. MIN KYU KIM |
| Credential | DMD |
| Practice Address |
8035 S Rainbow Blvd # 102 Las Vegas NV 89139 |
| Mailing Address |
142 N Citrus Ave Los Angeles CA 90036-3042 |
| Practice Telephone | 7028967211 |
| Mailing Telephone | 2672405462 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2018-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
S3-296C | NV | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4700 Las Vegas Blvd N, Nellis Afb, NV 891916600 | 7026532600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528449873 | Min Soo Kim | Dentist | 2701 N Dirksen Pkwy, Springfield, IL 62702-1407 | 2015-06-12 |
| 1437490505 | Min Kim | Student in an Organized Health Care Education/Training Program | 1813 Spruce St, Apt 2f, Philadelphia, PA 19103-5806 | 2013-03-14 |
| 1376894436 | Min Kim | Pharmacist | 5005n Piedras St, 4008, El Paso, TX 79912 | 2012-09-28 |
| 1497028674 | Min Jung Kim | Chiropractor | 907 Aylesbury Dr, Allen, TX 75002-5745 | 2012-02-17 |
| 1629380936 | Min S Kim | Dentist | 7250 S Durango Dr Ste 110, Las Vegas, NV 89113-2221 | 2010-07-02 |
| 1750566857 | Min Jeong Kim | Optometrist | 733 Manhattan Ave, Brooklyn, NY 11222-2944 | 2008-01-08 |
| 1912107194 | Min C. Kim | Dentist | 4270 Gorgas Circle, Fort Sam Houston, TX 78234-2639 | 2007-07-25 |
| 1861609240 | Min Kyung Kim | Acupuncturist | 1418 S Euclid St, Fullerton, CA 92832-3135 | 2007-05-17 |
| 1295833192 | Min Cheol Kim | Ophthalmology | 14155 North 83rd Avenue, Suite 1103, Peoria, AZ 85381 | 2006-09-21 |
| 1003914771 | Min Kyung Kim | Physical Medicine & Rehabilitation | 1200 S. York, #3160, Elmhurst, IL 60126 | 2006-09-20 |
| Street Address |
8035 S RAINBOW BLVD # 102 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440116 | Cynrg Enterprises LLC | Marriage & Family Therapist | 6578 Creekside Cellars Court, Las Vegas, NV 89139 | 2020-02-27 |
| 1922542968 | De Craig Ranch, LLC | General Acute Care Hospital | 4855 Blue Diamond Rd, Las Vegas, NV 89139 | 2016-12-09 |
| 1851847404 | Sports LLC | Physical Therapist | 7770 Dean Martin Dr Ste 307, Las Vegas, NV 89139 | 2016-09-01 |
| 1790134179 | Jubert C Aranas LLC | Dentist | 7460 S. Rainbow Blvd., Suite 100, Las Vegas, NV 89139 | 2016-06-07 |
| 1245533207 | Maryanne D. Phillips Md Apc | Anesthesiology | 7835 S Rainbow Bl, Ste 15, Las Vegas, NV 89139 | 2010-12-14 |
| 1093015612 | Eboni Abah | Behavioral Analyst | 777 South Jones Ave, Las Vegas, NV 89139 | 2010-10-29 |
| 1790924587 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3692 Blue Diamond Road, Las Vegas, NV 89139 | 2009-02-18 |
| 1487820973 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 4800 Blue Diamond Rd, Las Vegas, NV 89139 | 2008-05-05 |
| 1588842702 | Watanabe Diamond Dental Group, Professional Corporation | Dentist | 4380 Blue Diamond Road, Suite 102, Las Vegas, NV 89139 | 2008-02-11 |
| 1710186937 | Gerard Anthony Bozman | Chiropractor | 8050 Dean Martin, Las Vegas, NV 89139 | 2007-07-17 |
| Find all providers in zip 89139 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908958 | Shannon Candid Nevada, Pllc | Dentist | 3651 Lindell Rd Ste D1110, Las Vegas, NV 89103-1254 | 2020-09-23 |
| 1205460334 | Celebraces Decatur Loveland Pllc | Dentist | 4880 W Flamingo Rd, Las Vegas, NV 89103-3704 | 2020-02-27 |
| 1083278659 | Celebraces Francisco Loveland, Pllc | Dentist | 2466 E Desert Inn Rd Ste F, Las Vegas, NV 89121-3622 | 2019-04-29 |
| 1407312754 | Southern Nevada Orthodontics, LLC | Dentist | 6870 S Rainbow Blvd Ste 112, Las Vegas, NV 89118-2108 | 2019-02-12 |
| 1275041915 | Fenn Holden Welch | Dentist | 8551 W Lake Mead Blvd Ste 261, Las Vegas, NV 89128-7642 | 2018-01-16 |
| 1720592140 | Leaver and Gardner Orthodontics LLC | Dentist | 5765 Centennial Center Blvd Ste 110, Las Vegas, NV 89149-7125 | 2017-11-21 |
| 1265945638 | Tomlin Dental Group, PC | Dentist | 6970 South Cimarron Road Suite 100, Las Vegas, NV 89113 | 2017-11-08 |
| 1447779640 | David Chenin, Pllc | Dentist | 4306 S Eastern Ave, Las Vegas, NV 89119-6016 | 2017-09-19 |
| 1326564725 | Sunrise Orthodontics LLC | Dentist | 3196 S Maryland Pkwy Ste 307, Las Vegas, NV 89109-2314 | 2017-08-17 |
| 1902327448 | Melissa Marie Ven Dange | Dentist | 1001 Shadow Ln., Las Vegas, NV 89106-7410 | 2017-07-06 |
| Find all providers in LAS VEGAS | ||||
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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.