Heejin Kang, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7866 Issued in NV

Practice address

2570 Wigwam Pkwy Ste 110
Henderson, NV 89074-6225

Phone

(702) 757-3399

NPI assigned

Jul 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Velayo Green Valley Smiles Dentistry, PC

  • General Practice Dentistry
  • Henderson, NV
  • NPI 1588036578

  General Practice

  NPD

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1750069415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 LAS VEGAS BLVD S UNIT 4035",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835429",
            "telephone_number": "808-728-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 WIGWAM PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746225",
            "telephone_number": "702-757-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "HEEJIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kamin, OT
• Christine Nicole Kaminska, BCBA
• Daniela Kamstra
• Kimi Kanapathy
• Elena Kane, PT
• Sophia Hyejin Kang, OTD
• Vimmi Kaur Kang, DO
• Victor Kanian, D.M.D
• Manish Kanukunta, MD
• Lawrence Bruce Kapel, PHD

• All providers in Henderson, NV
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.