Active NPI
Edward Yungjung Kim, DDS
- Dentist
- Las Vegas, NV
National Provider Identifier
1982779013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3357
- Practice address
- 5205 S. Durango Dr. #103
Las Vegas, NV 89113 - Phone
- (702) 384-2828
- Fax
- (702) 889-1118
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3357 | NV | Primary |
Addresses
Primary practice location
5205 S. Durango Dr. #103
Las Vegas, NV 89113
Mailing address
5205 S Durango Dr Ste 103
Las Vegas, NV 89113-0179
Phone (702) 384-2828
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3357 | NV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1982779013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 S DURANGO DR STE 103",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891130179",
"telephone_number": "702-384-2828",
"fax_number": "702-889-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5205 S. DURANGO DR. #103",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89113",
"telephone_number": "702-384-2828",
"fax_number": "702-889-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "EDWARD",
"middle_name": "YUNGJUNG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "3357",
"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 Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.