Dr Ji In Kim, DDS - Dentist in N Las Vegas, NV

Dr Ji In Kim, DDS is a Dentist based in N Las Vegas, Nevada. Dr Ji In Kim is licensed to practice in Nevada (license number 6120) and his current practice location is 150 E Centennial Pkwy Ste 113, N Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at (702) 642-1386.

NPI number for Dr Ji In Kim is 1164677746 and his current mailing address is 150 E Centennial Pkwy Ste 113, North Las Vegas, Nevada. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164677746.

Contact Information

Dr Ji In Kim, DDS
150 E Centennial Pkwy Ste 113,
N Las Vegas, NV 89084
(702) 642-1386
(702) 642-6321



Healthcare Provider's Profile

Full NameDr Ji In Kim
GenderMale
SpecialityDentist
Location150 E Centennial Pkwy Ste 113, N Las Vegas, Nevada
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164677746
  • Provider Enumeration Date: 11/24/2008
  • Last Update Date: 04/24/2019

Medical Identifiers

Medical identifiers for Dr Ji In Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164677746NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 57816 (California)Secondary
122300000XDentist 6120 (Nevada)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ji In Kim is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ji In Kim, DDS
150 E Centennial Pkwy Ste 113,
North Las Vegas, NV 89084-1338

Ph: (702) 642-1386
Dr Ji In Kim, DDS
150 E Centennial Pkwy Ste 113,
N Las Vegas, NV 89084

Ph: (702) 642-1386

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Dentist in N Las Vegas, NV

Dr. Heddamarie U.t. Hart, D.M.D.
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Medicare: Not Enrolled in Medicare
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Phone: 702-304-8300    Fax: 702-304-8300
Catherine Ariel Canda,
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Phone: 702-379-3289    
Mr. Lance J Kim, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 6900 N Pecos Rd, N Las Vegas, NV 89086
Phone: 702-791-9000    Fax: 702-642-6321
Huy Cao Nguyen, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 78 Broken Putter Way, N Las Vegas, NV 89148
Phone: 702-371-8567    Fax: 702-685-8867
Randy Hong, D.D.S.
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Medicare: Not Enrolled in Medicare
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Phone: 702-638-1005    Fax: 702-638-1071
Joel B Dashut, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 4358 W Cheyenne Ave, N Las Vegas, NV 89032
Phone: 702-735-9500    Fax: 702-693-6500

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