Individual provider Active NPI

Kangyu Huang, DMD

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1124804240
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7897 Issued in NV
Practice address
45 E Silverado Ranch Blvd Ste 100
Las Vegas, NV 89183-3480
Phone
(702) 425-6810
NPI assigned
Sep 5, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7897 NV Primary

Addresses

Primary practice location

45 E Silverado Ranch Blvd Ste 100
Las Vegas, NV 89183-3480

Mailing address

45 E Silverado Ranch Blvd Ste 100
Las Vegas, NV 89183-3480
Phone (702) 425-6810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131004972 NV Order and Referring Only - DentistPractitioner - Dentist 3476906983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7897NVMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karimzada Silverado Ranch Dentistry, PC Dentist PastSince Sep 10, 2023 Accepting new patients

Organizations & group practices 1

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": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1124804240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E SILVERADO RANCH BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891833480",
            "telephone_number": "702-425-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E SILVERADO RANCH BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891833480",
            "telephone_number": "702-425-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "KANGYU",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.