Individual provider Active NPI

Christopher Kuranko, DDS

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1023008703
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4857 Issued in NV
Practice address
2575 S Cimarron Rd
Suite 100
Las Vegas, NV 89117-7653
Phone
(702) 369-7441
Fax
(702) 369-1852
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D5433 AZ
General Practice Dentistry 1223G0001X 4857 NV Primary

Addresses

Primary practice location

2575 S Cimarron Rd
Suite 100
Las Vegas, NV 89117-7653

Mailing address

2575 S Cimarron Rd
Suite 100
Las Vegas, NV 89117-7653
Phone (702) 369-7441

Other identifiers 1

IdentifierTypeStateIssuer
4857OtherNVNEVADA DENTAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4857NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Valley Nielson PDC PLLC General Practice PastSince May 18, 2025 Accepting new patients
Yong Kim, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1023008703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 S CIMARRON RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177653",
            "telephone_number": "702-369-7441",
            "fax_number": "702-369-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 S CIMARRON RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177653",
            "telephone_number": "702-369-7441",
            "fax_number": "702-369-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURANKO",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5433",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA DENTAL LICENSE NUMBER",
            "identifier": "4857",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.