MEDICARE: DANIEL KIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	31228	TX
2	1223P0221X	Pediatric Dentistry	S6-184C	NV

General Provider Information

NPI Number	:	1225413149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL KIM

Provider Business Mailing Address
First Line	:	5994 DAY RIDER AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-6314
Country	:	US
Telephone Number	:	412-951-2799
Fax Number	:

Provider Business Practice Location Address
First Line	:	6122 W LAKE MEAD BLVD STE 105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2659
Country	:	US
Telephone Number	:	412-951-2799
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2015
Last Update Date	:	02/14/2022

Similar Medicare Providers

1023007416 — DR. ROBERT ALLEN PEARSON OD
Practice Location Address:

6134 W. LAKE MEAD BLVD , E-8
LAS VEGAS, NV
89108-2659

Practice Phone: 702-220-4197
Practice Fax: 702-220-4197

1134103393 — DR. GABRIEL HERNANDEZ O.D.
Practice Location Address:

6134 W LAKE MEAD BLVD , E-8
LAS VEGAS, NV
89108-2659

Practice Phone: 702-631-4144
Practice Fax: 702-631-9094

1356385603 — SENIP CVS LLC
Practice Location Address:

6150 W LAKE MEAD BLVD
LAS VEGAS, NV
89108-2659

Practice Phone: 702-646-3223
Practice Fax:

1821157900 — ERIC L. SABOL, D.C.
Practice Location Address:

6136 W LAKE MEAD BLVD
LAS VEGAS, NV
89108-2659

Practice Phone: 702-647-9788
Practice Fax: 702-647-6208

1952448144 — PEARSON ENTERPRISES INTERNATIONAL LLC
Practice Location Address:

6134 W. LAKE MEAD BLVD , E-8
LAS VEGAS, NV
89108-2659

Practice Phone: 702-631-4144
Practice Fax: 702-631-9094

1366606139 — ICARELASVEGAS
Practice Location Address:

6134 W LAKE MEAD BLVD , E-8
LAS VEGAS, NV
89108-2659

Practice Phone: 702-631-4144
Practice Fax: 702-631-9094

1790940005 — LMJ DENTAL, LLC
Practice Location Address:

6110 W LAKE MEAD BLVD , STE. 150
LAS VEGAS, NV
89108-2659

Practice Phone: 702-435-5015
Practice Fax: 702-366-1483

Directions to “ DANIEL KIM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.