Daniel H Kim D O a Professional Corporation

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

DANIEL H KIM D O A PROFESSIONAL CORPORATION

Practice address

1905 McDaniel Street
Suite 104
North Las Vegas, NV 89030-7170

Phone

(702) 838-9710

Fax

(702) 838-9705

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel H Kim, DONPI 1801881297

Title

President/Owner

Phone

(702) 838-9710

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nevada Ear, Nose & Throat Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel H Kim, DO

  • Otolaryngology Physician
  • North Las Vegas, NV
  • NPI 1801881297
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680912000000",
    "number": "1063526317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 MCDANIEL STREET",
            "address_2": "SUITE 104",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307170",
            "telephone_number": "702-838-9710",
            "fax_number": "702-838-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 MCDANIEL STREET",
            "address_2": "SUITE 104",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307170",
            "telephone_number": "702-838-9710",
            "fax_number": "702-838-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL H KIM D O A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-04-08",
        "certification_date": "2023-04-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "702-838-9710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100512055",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Ear, Nose & Throat Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dales Behavioral Health LLC
• Lucas Nathan Dalton, LCSW
• Fabiola Damian
• Star Lynn Damian, RRT, RRT-SDS
• Vivi Van Dang-Roberts I, DDS
• Hilary Nsemeke Daniel, MD
• Jaliyah Le-Trice la'Shay Daniel
• Ossis Daniel
• Faith Elisabeth Daniels
• Jonathan James Danner, DC

• Otolaryngology Physician in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Otolaryngology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.