Individual provider Active NPI

Korri Lynn Wipperman, DMD

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1285882399
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5732 Issued in NV
Practice address
7260 S Cimarron Rd Ste 150
Las Vegas, NV 89113-2172
Phone
(702) 338-3162
Fax
(815) 550-2865
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5732 NV Primary

Addresses

Primary practice location

7260 S Cimarron Rd Ste 150
Las Vegas, NV 89113-2172

Mailing address

8479 Prairie Run Ave
Las Vegas, NV 89149-4021
Phone (702) 338-3162

Other practice location 1

3575 Town Center Drive
#120
Las Vegas, NV 89135
Phone (702) 328-5263

Other practice location 2

3575 Town Center Drive
#120
Las Vegas, NV 89135
Phone (702) 328-5263

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

LicenseStateTypeSpecialty
5732NVMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1285882399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8479 PRAIRIE RUN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494021",
            "telephone_number": "702-338-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 S CIMARRON RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132172",
            "telephone_number": "702-338-3162",
            "fax_number": "815-550-2865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3575 Town Center Drive",
            "address_2": "#120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89135",
            "country_code": "US",
            "telephone_number": "702-328-5263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3575 Town Center Drive",
            "address_2": "#120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89135",
            "country_code": "US",
            "telephone_number": "702-328-5263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIPPERMAN",
        "first_name": "KORRI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5732",
            "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 Nov 6, 2018; 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.