Kohsiu Ku DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

4996T Issued in NV

Legal business name

KOHSIU KU DDS INC

Doing business as

Smile Haven Family Dentistry

Practice address

4045 S Eastern Ave
Las Vegas, NV 89119

Phone

(702) 892-9878

Fax

(702) 892-9073

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kohsiu Ku, DDS

Title

Owner Dentist

Phone

(702) 892-9878

Specialties & licenses 2

Addresses

Other names 1

• Smile Haven Family Dentistry Doing business as

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1194907386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-892-9878",
            "fax_number": "702-892-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-892-9878",
            "fax_number": "702-892-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHSIU KU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "KU",
        "authorized_official_first_name": "KOHSIU",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "702-892-9878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "4996T",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4996T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Haven Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard E Kohlmeyer, DDS
• Carol Kohn-Mannis, LCSW
• Noah Benjamin Kohn, MD
• Ronald J Kohn, MD
• Alexis Kohrs-Jeschke, RN
• Niuton Seigo Koide, MD
• Brenda J Koiro
• Maria Kojokian
• Govind V Koka, DO
• Ani Kokikyan

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.