Active NPI
Eileen Huynh, DMD
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1649650037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6647
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6647 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DO Bros DDS PLLC | Current | Accepting new patients | |
| Elegant Smiles, LLC | Current | 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.