Individual provider Active NPI

Sharon Mia Kim, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • North Las Vegas, NV
National Provider Identifier
1316197817
Registry record updated Nov 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
S3-176 Issued in NV
Practice address
150 E Centennial Pkwy Ste 113
North Las Vegas, NV 89084-1338
Phone
(702) 642-1386
NPI assigned
Sep 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 57726 CA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X S3-176 NV Primary

Addresses

Primary practice location

150 E Centennial Pkwy Ste 113
North Las Vegas, NV 89084-1338

Mailing address

150 E Centennial Pkwy Ste 113
North Las Vegas, NV 89084-1338
Phone (702) 642-1386

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
S3-176NVMDOrthodontics and Dentofacial Orthopedic Dentist
57726CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ji in Kim, D.D.S., Professional Corporation Orthodontics and Dentofacial Orthopedics CurrentSince Nov 30, 2025 Accepting new patients

Locations

150 E Centennial Pkwy
Ste 113
North Las Vegas, NV 89084
Phone (702) 642-1386

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.

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763856000000",
    "number": "1316197817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E CENTENNIAL PKWY STE 113",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841338",
            "telephone_number": "702-642-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E CENTENNIAL PKWY STE 113",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841338",
            "telephone_number": "702-642-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SHARON",
        "middle_name": "MIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "57726",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North 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 23, 2025; 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.