Organization Active NPI

KMP Dental PLLC

Doing business as Healing Dental

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1366321432
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KMP DENTAL PLLC
Doing business as
Healing Dental
Practice address
7795 S Rainbow Blvd Ste 110
Las Vegas, NV 89139-6547
Phone
(781) 325-5634
NPI assigned
Sep 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Kwang Min Park, DMDNPI 1194194506
Title
Dentist
Phone
(781) 325-5634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7795 S Rainbow Blvd Ste 110
Las Vegas, NV 89139-6547

Mailing address

322 Robledo St
Las Vegas, NV 89138-6400
Phone (781) 325-5634

Other names 1

  • Healing Dental Doing business as

National Provider Directory

National Provider Directory

Locations

7795 S Rainbow Blvd
Ste 110
Las Vegas, NV 89139
Phone (781) 325-5634

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1366321432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 ROBLEDO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386400",
            "telephone_number": "781-325-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7795 S RAINBOW BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396547",
            "telephone_number": "781-325-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMP DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KWANG MIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-325-5634",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Dental",
            "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 Sep 2, 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.