Active NPI
Christopher Kuranko, DDS
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1023008703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4857
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4857 | Other | NV | NEVADA 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4857 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Valley Nielson PDC PLLC | General Practice | Past | 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.
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1669262713
-
- Endodontics
- Las Vegas, NV
- NPI 1851672158
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.