Individual provider Active NPI

James Gordon Kinard, DDS

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1639189061
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NV2101 Issued in NV
Practice address
2780 W Horizon Ridge Pkwy Ste 20
Henderson, NV 89052-3995
Phone
(702) 719-4700
Fax
(702) 719-4701
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NV2101 NV Primary

Addresses

Primary practice location

2780 W Horizon Ridge Pkwy Ste 20
Henderson, NV 89052-3995

Mailing address

2780 W Horizon Ridge Pkwy Ste 20
Henderson, NV 89052-3995
Phone (702) 719-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20160309000556 NV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6002112554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NV2101NVMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639189061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 W HORIZON RIDGE PKWY STE 20",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523995",
            "telephone_number": "702-719-4700",
            "fax_number": "702-719-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 W HORIZON RIDGE PKWY STE 20",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523995",
            "telephone_number": "702-719-4700",
            "fax_number": "702-719-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINARD",
        "first_name": "JAMES",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "NV2101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.