Elaine T. Shim, DDS, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3525 Issued in NV

Legal business name

ELAINE T. SHIM, DDS, PC

Practice address

1550 N Green Valley Pkwy
#350
Henderson, NV 89074-7108

Phone

(702) 567-1887

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Elaine T Shim, DDS

Title

President

Phone

(702) 567-1887

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1508036781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N GREEN VALLEY PKWY",
            "address_2": "#350",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747108",
            "telephone_number": "702-567-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N GREEN VALLEY PKWY",
            "address_2": "#350",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747108",
            "telephone_number": "702-567-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE T. SHIM, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-567-1887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": "3525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan L Eisenberg, M.D.
• Jacob V Eisert, MD
• Lance P Eisner, DPM
• Rachell Ann Ekroos, MSN ARNP-BC AFN-BC
• Fadi El-Salibi, M.D.
• Stacy Elder
• Brian Eldridge, CPC-I
• Elements of Excellence
• Elena Langdon MD PLLC
• Eleos Care Inc

• Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.