Active NPI
Kenneth Michael Cox, DDS
- Dentist
- Las Vegas, NV
National Provider Identifier
1215961784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2884
- Practice address
- 6615 S Eastern Ave Ste 106
Las Vegas, NV 89119-3926 - Phone
- (702) 735-3506
- Fax
- (702) 307-1124
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2884 | NV | Primary |
Addresses
Primary practice location
6615 S Eastern Ave Ste 106
Las Vegas, NV 89119-3926
Mailing address
9157 Amber Waves St
Las Vegas, NV 89123-5364
Phone (700) 273-5350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2884 | NV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Dental Partners | Past | 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.
-
- Dental Clinic/Center
- Las Vegas, NV
- NPI 1083280044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215961784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9157 AMBER WAVES ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891235364",
"telephone_number": "700-273-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6615 S EASTERN AVE STE 106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891193926",
"telephone_number": "702-735-3506",
"fax_number": "702-307-1124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "KENNETH",
"middle_name": "MICHAEL",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "2884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.