Individual provider Active NPI

Kimberly Pearl Lao Yap, DDS

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1255615803
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6509 Issued in NV
Practice address
6720 N Hualapai Way Ste 105
Las Vegas, NV 89149-1373
Phone
(702) 850-5252
Fax
(702) 470-1888
NPI assigned
Sep 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6509 NV Primary

Addresses

Primary practice location

6720 N Hualapai Way Ste 105
Las Vegas, NV 89149-1373

Mailing address

6720 N Hualapai Way Ste 105
Las Vegas, NV 89149-1373
Phone (702) 850-5252

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
I20161018001298 NV Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4385932748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly P Yap DDS PC Dentist CurrentSince Feb 27, 2022 Accepting new patients

Locations

6720 N Hualapai Way
Ste 105
Las Vegas, NV 89149
Phone (702) 850-5252

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1255615803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 N HUALAPAI WAY STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891491373",
            "telephone_number": "702-850-5252",
            "fax_number": "702-470-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 N HUALAPAI WAY STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891491373",
            "telephone_number": "702-850-5252",
            "fax_number": "702-470-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAP",
        "first_name": "KIMBERLY",
        "middle_name": "PEARL LAO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.