Heeyup Ghim, MD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4848 Issued in NV

Practice address

270 E Horizon Dr
Suite 106
Henderson, NV 89015-8036

Phone

(702) 564-4498

Fax

(702) 564-0798

NPI assigned

Sep 14, 2006

Last updated

Mar 16, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ghim Professional Corporation

  dba Black Mountain Dental

  • Dentist
  • Henderson, NV
  • NPI 1467699843
  NPD (past) Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1326143264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E HORIZON DR",
            "address_2": "SUITE 106",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158036",
            "telephone_number": "702-564-4498",
            "fax_number": "702-564-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E HORIZON DR",
            "address_2": "SUITE 106",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158036",
            "telephone_number": "702-564-4498",
            "fax_number": "702-564-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIM",
        "first_name": "HEEYUP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youssef Ghanem
• Muhammad Sohail Ghani, MD
• Elham Ghazanfar
• GHC of Henderson LLC (Coronado Ridge Skilled Nursing & Rehabilitation Center)
• Ghim Professional Corporation (Black Mountain Dental)
• Rea Ghodasra, DMD
• Sarah Gholson
• Stella Gianinetto
• Aimee C Gianni, MFT
• Giant Steps Health & Wellness LLC

• General Practice Dentistry in Henderson, NV
• Providers in Henderson, 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 Mar 16, 2011; 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.