Jeffery B Kinner, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2165 Issued in NV

Practice address

653 N Town Center Dr
Suite 104
Las Vegas, NV 89144-0514

Phone

(702) 838-9013

Fax

(702) 838-9157

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275579120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 MAKENNA CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131219",
            "telephone_number": "702-838-9013",
            "fax_number": "702-838-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR",
            "address_2": "SUITE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440514",
            "telephone_number": "702-838-9013",
            "fax_number": "702-838-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNER",
        "first_name": "JEFFERY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "2165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0022023",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayliegh Kingsley
• Jack Kingston
• Aishani Sudesh Kini, PT, DPT
• Heidi M Kinkead
• Jerica Kinloch
• Diane Kinney
• Valerie Ilaine Kinnikin, LCSW MAC
• Joshua Lee Kinnunen, APRN FNP-C
• Keoni Mark Kins, DPT
• Maria Kinsey

• General Practice Dentistry in Las Vegas, NV
• Providers in 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 Jul 13, 2026; 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.