NPIMap

Organization Active NPI

Kim-Vy C Pham DMD PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Vegas, NV
National Provider Identifier
1558813733
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
KIM-VY C PHAM DMD PLLC
Practice address
110 E Bruner Ave Ste 130
Las Vegas, NV 89183-5700
Phone
(702) 798-6684
Fax
(702) 798-7203
NPI assigned
Nov 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Kim-Vy Chanh Pham, DMDNPI 1679014385
Title
Dentist
Phone
(702) 985-5876

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary
Dental Clinic/Center 261QD0000X 6793 NV

Addresses

Primary practice location

110 E Bruner Ave Ste 130
Las Vegas, NV 89183-5700

Mailing address

110 E Bruner Ave Ste 130
Las Vegas, NV 89183-5700
Phone (702) 798-6684

Other practice location 1

3663 E Sunset Rd Ste 301
Las Vegas, NV 89120-3246
Phone (702) 450-5999

Other names 2

  • Inspired Dental Doing business as
  • Inspired Dental at Sunset Doing business as

National Provider Directory

National Provider Directory

Locations

110 E Bruner Ave
Ste 130
Las Vegas, NV 89183
Phone (702) 798-6684

3663 E Sunset Rd
Ste 301
Las Vegas, NV 89120
Phone (702) 450-5999

Practitioners & affiliated clinicians

Practitioners 4

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": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1558813733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E BRUNER AVE STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835700",
            "telephone_number": "702-798-6684",
            "fax_number": "702-798-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BRUNER AVE STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835700",
            "telephone_number": "702-798-6684",
            "fax_number": "702-798-7203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3663 E Sunset Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891203246",
            "country_code": "US",
            "telephone_number": "702-450-5999",
            "fax_number": "866-366-0902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIM-VY C PHAM DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KIM-VY",
        "authorized_official_middle_name": "CHANH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-985-5876",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "6793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspired Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inspired Dental at Sunset",
            "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 Aug 8, 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.