Shanna K. Kim DDS, PLLC

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

Legal business name

SHANNA K. KIM DDS, PLLC

Doing business as

Nevada Orofacial Pain, TMJ and Sleep Clinic

Practice address

4840 Vista Blvd Ste 108
Sparks, NV 89436-2850

Phone

(775) 241-8489

NPI assigned

Sep 25, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Shanna Kim, DDS

Title

Owner

Phone

(775) 241-8489

Specialties & licenses 1

Addresses

Other names 1

• Nevada Orofacial Pain, TMJ and Sleep Clinic Doing business as

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1437976867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17128",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 VISTA BLVD STE 108",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894362850",
            "telephone_number": "775-241-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNA K. KIM DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-241-8489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Orofacial Pain, TMJ and Sleep Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Sexton
• Maya Shaanan, OTD
• Shahrestani Spanish Springs Modern Dentistry, PC
• Shahrestani Sparks Marina Dentistry, PC
• Aisha Shanks
• Orlando Shannon
• Leonard Shapiro, M.D.
• Joe Dean Shaw II
• Sheryl Marie Shay
• Olufunmilayo Sheddy

• Orofacial Pain Dentistry in Sparks, NV
• Providers in Sparks, NV by specialty
• Orofacial Pain Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.