Individual provider Active NPI

Eileen Huynh, DMD

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1649650037
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6647 Issued in NV
Practice address
6910 S Cimarron Rd Suite 200
Las Vegas, NV 89113-2280
Phone
(702) 805-4555
Fax
(702) 500-0416
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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 6647 NV Primary

Addresses

Primary practice location

6910 S Cimarron Rd Suite 200
Las Vegas, NV 89113-2280

Mailing address

6910 S Cimarron Rd Suite 200
Las Vegas, NV 89113-2280
Phone (702) 805-4555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6647NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DO Bros DDS PLLC CurrentSince Aug 23, 2020 Accepting new patients
Elegant Smiles, LLC CurrentSince Sep 13, 2020 Accepting new patients

Locations

6910 S Cimarron Rd
Ste 200
Las Vegas, NV 89113
Phone (702) 805-4555

803 S 7th St
Las Vegas, NV 89101
Phone (702) 384-4721

Organizations & group practices 2

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1649650037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 S CIMARRON RD SUITE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132280",
            "telephone_number": "702-805-4555",
            "fax_number": "702-500-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 S CIMARRON RD SUITE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132280",
            "telephone_number": "702-805-4555",
            "fax_number": "702-500-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "EILEEN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 10, 2020; 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.