Adam Brent Kornhaber

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

LL-500-19 Issued in NV

Practice address

2656 N Buffalo Dr Unit 1239
Las Vegas, NV 89128-4812

Phone

(702) 774-5175

Fax

(702) 774-2812

NPI assigned

Mar 26, 2019

Last updated

Jul 10, 2019By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1902367659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022335",
            "telephone_number": "702-774-5175",
            "fax_number": "702-774-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 N BUFFALO DR UNIT 1239",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284812",
            "telephone_number": "702-774-5175",
            "fax_number": "702-774-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNHABER",
        "first_name": "ADAM",
        "middle_name": "BRENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "LL-500-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Korman, RN
• Candice Korn
• Ryan Edward Korn, MD
• Andrew Kornet
• Dawn Stephane Korney, COTA/L
• Joshua Anthony Koroghli, PHARM.D., M.B.A
• Lamin David Koroma
• Yelena Korotky
• Vinod Korrapati, M.D.
• Olexiy Korshun, ETC.

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.