MATTHEW KIKUCHI DMD PLLC (NPI# 1780051367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780051367 |
| Entity Type | Organization |
| Organization Name | MATTHEW KIKUCHI DMD PLLC |
| Practice Address |
5765 S Fort Apache Rd Ste 110 Las Vegas NV 89148-5625 |
| Practice Telephone | 7028766337 |
| Practice Fax Number | 7028762988 |
| Mailing Telephone | 7028766337 |
| Mailing Fax Number | 7028762988 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | MATTHEW KIKUCHI (SOLE MEMBER) |
| Authorized Official Telephone | 7023434720 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
S2-138 | NV | Ambulatory Health Care Facilities |
| Street Address |
5765 S FORT APACHE RD STE 110 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-5625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730629767 | Falk Oral & Facial Surgery, Pllc | Clinic/Center | 6200 N Durango Dr Ste 100, Las Vegas, NV 89149-3916 | 2017-02-23 |
| 1740583632 | Robert M Svarney Jr, Dds, Pllc | Clinic/Center | 8084 W Sahara Ave, Suite F, Las Vegas, NV 89117-2073 | 2010-12-15 |
| 1447422035 | A. Ted Twesme, D.d.s., Ltd. | Clinic/Center | 4544 S Pecos Rd, Las Vegas, NV 89121-5923 | 2008-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388955 | Daniel F. Muff, Dds, Md, Ltd | Clinic/Center | 609 Sierra Rose Dr Ste 1, Reno, NV 89511-4008 | 2019-10-25 |
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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.