DR. KEVIN SU (NPI# 1336791524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336791524 |
| Entity Type | Individual |
| Full Name | DR. KEVIN SU |
| Practice Address |
366 W Lake Mead Pkwy Ste 100 Henderson NV 89015-7287 |
| Practice Telephone | 7024643090 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7307 | NV | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962908129 | Kevin N Su | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Bb-1469, Seattle, WA 98195-6540 | 2018-04-04 |
| 1538521356 | Kevin Wayne Su | Internal Medicine | 725 Albany St, Shapiro 5 & 6, Boston, MA 02118-2526 | 2016-03-22 |
| 1497043467 | Kevin Su | Pharmacist | 3020 Ne 45th St, Seattle, WA 98105-5002 | 2011-07-12 |
| Street Address |
366 W LAKE MEAD PKWY STE 100 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89015-7287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558620823 | Mugleston Henderson Modern Dentistry, PC | Dentist | 366 W Lake Mead Pkwy Ste 100, Henderson, NV 89015-7287 | 2012-05-08 |
| 1861090722 | Megan Hickman | Dentist | 366 W Lake Mead Pkwy Ste 100, Henderson, NV 89015-7287 | 2020-10-13 |
| 1649826793 | Patrick Anghel | Dentist | 366 W Lake Mead Pkwy Ste 100, Henderson, NV 89015-7287 | 2019-08-14 |
| 1922668599 | Adam Marina | Dentist | 366 W Lake Mead Pkwy Ste 100, Henderson, NV 89015-7287 | 2019-06-17 |
| 1356829865 | Mandy Mun-yin Yip | Dentist | 366 W Lake Mead Pkwy Ste 100, Henderson, NV 89015-7287 | 2018-08-06 |
| 1801304043 | Abdelkarim Medical Corporation, PC | Internal Medicine | 366 W Lake Mead Pkwy Ste 100, Henderson, NV 89015-7287 | 2018-01-22 |
| 1972014454 | Marika Lenee Chunyk | Family Medicine | 366 W Lake Mead Pkwy Ste 100, Henderson, NV 89015-7287 | 2017-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
| 1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
| 1124528963 | Edson Jeam Arredondo | Chore Provider | 160 E Horison Dr Ste A, Henderson, NV 89015 | 2018-02-19 |
| 1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
| 1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
| 1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
| 1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| Find all providers in zip 89015 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096614 | Nevada Dental Professional, Quirt, Gates, PC | Dentist | 55 S Valle Verde Dr Ste 250, Henderson, NV 89012-3479 | 2020-09-08 |
| 1700406618 | Joshua M. Ignatowicz Dmd PC | Dentist | 1070 W Horizon Ridge Pkwy Ste 121, Henderson, NV 89012-6019 | 2020-04-21 |
| 1821623059 | Yip Horizon Ridge Modern Dentistry, PC | Dentist | 10525 S Eastern Ave Ste 100, Henderson, NV 89052-3971 | 2020-03-09 |
| 1396392080 | Cheng Tang | Dentist | 2570 Wigwam Pkwy Unit 110, Henderson, NV 89074-6226 | 2019-08-19 |
| 1609437797 | Bradley Dinh Truong | Dentist | 725 S Green Valley Pkwy Ste 100, Henderson, NV 89052-0455 | 2019-06-27 |
| 1679054662 | Julianne Christine Doty | Dentist | 4301 E Sunset Rd Ste 100, Henderson, NV 89014-2238 | 2018-08-27 |
| 1912490483 | Matthew Davis Acres | Dentist | 1910 Tx-43, Henderson, TX 75652 | 2018-06-11 |
| 1891282091 | Saloni Bhardwaj Luckoor | Dentist | 2570 Wigwam Pkwy Ste 110, Henderson, NV 89074-6225 | 2018-04-13 |
| 1033619812 | John Thomas Sears | Dentist | 900 Industrial Dr, Henderson, TX 75652-5000 | 2018-02-18 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.