Organization Active NPI

E Kim Bestcare Dental, LTD

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1033239694
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3357 Issued in NV
Legal business name
E KIM BESTCARE DENTAL, LTD
Practice address
5205 S Durango Dr
#103
Las Vegas, NV 89113-0159
Phone
(702) 384-2828
Fax
(702) 889-1118
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Edward Yungjung Kim, D.D.S.
Title
President
Phone
(702) 384-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 3357 NV Primary

Addresses

Primary practice location

5205 S Durango Dr
#103
Las Vegas, NV 89113-0159

Mailing address

5205 S Durango Dr
#103
Las Vegas, NV 89113-0159
Phone (702) 384-2828

Other names 1

  • Bestcare Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5205 S Durango Dr
Ste 103
Las Vegas, NV 89113
Phone (702) 384-2828

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1033239694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 S DURANGO DR",
            "address_2": "#103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130159",
            "telephone_number": "702-384-2828",
            "fax_number": "702-889-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 S DURANGO DR",
            "address_2": "#103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130159",
            "telephone_number": "702-384-2828",
            "fax_number": "702-889-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E KIM BESTCARE DENTAL, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "YUNGJUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-384-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bestcare Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 21, 2008; 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.