Individual provider Active NPI

Danyalle Kahaeholookalani Chun, DMD

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1548960446
Registry record updated Mar 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7796 Issued in NV
Practice address
770 E Warm Springs Rd Ste 220
Las Vegas, NV 89119-4347
Phone
(702) 844-0448
NPI assigned
Mar 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7796 NV Primary

Addresses

Primary practice location

770 E Warm Springs Rd Ste 220
Las Vegas, NV 89119-4347

Mailing address

9759 Panther Hollow St
Las Vegas, NV 89141-8709
Phone (808) 384-1316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025000301 CA Order and Referring Only - DentistPractitioner - Dentist 9032565262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7796NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
DKC DMD PLLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

3225 S Rainbow Blvd
Ste 100
Las Vegas, NV 89146
Phone (702) 220-8726

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710028800000",
    "number": "1548960446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9759 PANTHER HOLLOW ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418709",
            "telephone_number": "808-384-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 E WARM SPRINGS RD STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194347",
            "telephone_number": "702-844-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "DANYALLE",
        "middle_name": "KAHAEHOLOOKALANI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.