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DR. KEVIN TAN DDS
NPI 1356913487
Dentist in Las Vegas, NV

Active since July 16, 2021
4205 S GRAND CANYON DR STE 19, LAS VEGAS, NV 89147(702) 805-1117 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2026, Jul 16, 2021 (2 updates tracked since 2021).

About Dr. Kevin Tan Dds NPPES

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

DR. KEVIN TAN DDS (NPI 1356913487) is an individual dentist in Las Vegas, Nevada, licensed in Nevada (7778) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1356913487
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KEVIN TANCredential: DDS
Location Address4205 S GRAND CANYON DR STE 19Las Vegas, NV 89147-7152
Mailing Address4205 S Grand Canyon Dr Ste 19Las Vegas, NV 89147-7152 · (702) 805-1117
Phone(702) 805-1117
Sole ProprietorNo
Enumeration DateJuly 16, 2021
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1356913487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in NV · 7778✔ Licensed in CA · 106598
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.
4205 S GRAND CANYON DR STE 19, Las Vegas, NV 89147
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

CURRENT GROUP LLC
Dentist (General Practice)
4205 S GRAND CANYON DR STE 19
LAS VEGAS, NV 89147
Clark County (702) 257-9177
ATLAS ARANAS, PLLC
Dentist (General Practice)
4205 S GRAND CANYON DR STE 19
LAS VEGAS, NV 89147
Clark County (702) 538-7888
KEVIN TAN DDS LLC
Dentist (General Practice)
4205 S GRAND CANYON DR STE 19
LAS VEGAS, NV 89147
Clark County (702) 805-1117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Tan's NPI number?

The NPI number for Kevin Tan is 1356913487. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Where is Kevin Tan located?

Kevin Tan practices at 4205 S Grand Canyon Dr Ste 19, Las Vegas, NV 89147. The listed phone number is (702) 805-1117.

What is Kevin Tan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kevin Tan accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 7 other insurers list Kevin Tan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Tan was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.