COSMIC KIDS DENTAL
NPI 1033778220
Dentist in Henderson, NV

Active since June 11, 2019
390 N STEPHANIE ST STE 104, HENDERSON, NV 89014(702) 947-7700 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cosmic Kids Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COSMIC KIDS DENTAL (NPI 1033778220) is a healthcare organization registered as a dentist in Henderson, Nevada and active in the NPI registry since June 2019. The organization lists Magdalena Evans, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1033778220
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameHENDERSON PEDIATRIC DENTISTRY HON DMD PC
Location Address390 N STEPHANIE ST STE 104Henderson, NV 89014-8029
Mailing Address390 N Stephanie St Ste 104Henderson, NV 89014-8029
Organization SubpartNo
Authorized OfficialMagdalena EvansCredentialing Specialist · (720) 603-4788
Enumeration DateJune 11, 2019
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
NPI 1033778220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

390 N STEPHANIE ST STE 104, Henderson, NV 89014

Other Names 1

Doing Business AsCosmic Kids Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2149378

Henderson Primary Care · Henderson, NV
Expired · May 31, 2026
CLIA Number29D2149378
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2024
Certificate Expiration DateMay 31, 2026
Laboratory DirectorWilliam R. Shoemaker
Laboratory Phone(725) 333-8400
Laboratory LocationHenderson Primary Care1389 Galeria Dr Ste 100, Henderson, NV 89014
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
390 N STEPHANIE ST STE 104
HENDERSON, NV 89014
Dentist (Pediatric Dentistry)
390 N STEPHANIE ST STE 104
HENDERSON, NV 89014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033778220, enumerated as an "organization" on June 11, 2019.

The provider is located at 390 N STEPHANIE ST STE 104 HENDERSON, NV 89014 and the phone number is (702) 947-7700.

Dentist with taxonomy code 122300000X.