Hylo Park Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HYLO PARK DENTAL PLLC

Practice address

3880 W Lake Mead Blvd Ste 100
North Las Vegas, NV 89032-5201

Phone

(702) 626-0526

NPI assigned

Oct 21, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Khurram Fahim, DMDNPI 1083227458

Title

Managing Member

Phone

(702) 883-4345

Specialties & licenses 1

Addresses

Other names 2

• Hylo Park Dental and Implants Doing business as
• khurram fahim Doing business as

Practitioners 1

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

• Khurram Fahim, DMD

  • Dentist
  • North Las Vegas, NV
  • NPI 1083227458
  NPD Authorized official

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1083435366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 EDNA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172902",
            "telephone_number": "702-883-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 W LAKE MEAD BLVD STE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325201",
            "telephone_number": "702-626-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYLO PARK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "FAHIM",
        "authorized_official_first_name": "KHURRAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-883-4345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hylo Park Dental and Implants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "khurram fahim",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig Anthony Hutton
• Annie Le Huynh
• Christine Huynh, DO
• James Huynh, DMD
• Lyly Thi Huynh
• William R Hyman, DDS MS
• I'LL Meet You There LLC
• Briana Nicole Iannazzo, DCS, BST
• Javier Ibarra, APRN FNP-C
• Javier Andres Ibarra

• General Practice Dentistry in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.