NPIMap

Organization Active NPI

Henry H. Kim, DDS,LTD

Doing business as Affectionate Dental Care

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1306969597
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4895T Issued in NV
Legal business name
HENRY H. KIM, DDS,LTD
Doing business as
Affectionate Dental Care
Practice address
5680 W Flamingo Rd
Suite a
Las Vegas, NV 89103-0169
Phone
(702) 876-3222
Fax
(702) 876-4422
NPI assigned
Apr 10, 2007
Last updated
Dec 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Dr. Henry H Kim, DDSNPI 1174654339
Title
Owner
Phone
(702) 876-3222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4895T NV Primary

Addresses

Primary practice location

5680 W Flamingo Rd
Suite a
Las Vegas, NV 89103-0169

Mailing address

5680 W Flamingo Rd
Suite a
Las Vegas, NV 89103-0169
Phone (702) 876-3222

Other names 1

  • Affectionate Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1306969597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 W FLAMINGO RD",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030169",
            "telephone_number": "702-876-3222",
            "fax_number": "702-876-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 W FLAMINGO RD",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030169",
            "telephone_number": "702-876-3222",
            "fax_number": "702-876-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY H. KIM, DDS,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-876-3222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4895T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affectionate Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 22, 2009; 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.