Excel Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4280 Issued in NV

Legal business name

EXCEL DENTAL CARE

Practice address

6002 S Durango Dr
Las Vegas, NV 89113-1785

Phone

(775) 453-0287

NPI assigned

May 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Yeong W Kim

Title

President

Phone

(775) 453-0287

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1346509668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 S DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 S DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131785",
            "telephone_number": "775-453-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YEONG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-453-0287",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Excel Behavioral & Community Services
• Excel Behavioral & Community Services, Inc
• Excel Chiro Care
• Excel Chiro Care, Inc
• Excel Consulting and Management Group
• Excel Extended Care Organization
• Excel Home Care Agency
• Excel Medical Services PLLC
• Excel Physical Therapy
• Excellence Home Care

• 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 Sep 14, 2015; 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.