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SHANNA K. KIM DDS, PLLC
NPI 1437976867
Dentist - Orofacial Pain in Sparks, NV

Active since September 25, 2024
4840 VISTA BLVD STE 108, SPARKS, NV 89436(775) 241-8489 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shanna K. Kim Dds, Pllc NPPES

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

SHANNA K. KIM DDS, PLLC (NPI 1437976867), doing business as Nevada Orofacial Pain, Tmj And Sleep Clinic, is a healthcare organization registered as an orofacial pain in Sparks, Nevada and active in the NPI registry since September 2024. The organization lists Shanna Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1437976867
Entity TypeOrganization
Primary Taxonomy1223X2210X
Legal Business NameSHANNA K. KIM DDS, PLLC
Location Address4840 VISTA BLVD STE 108Sparks, NV 89436-2850
Mailing AddressPo Box 17128Reno, NV 89511-3101
Phone(775) 241-8489
Organization SubpartNo
Authorized OfficialShanna KimOwner · (775) 241-8489
Enumeration DateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
✔ NPI 1437976867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
4840 VISTA BLVD STE 108, Sparks, NV 89436
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Other Names 1

Doing Business AsNevada Orofacial Pain, Tmj And Sleep Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. SCOTT GLENN SUTTER D.D.S.
Dentist (Endodontics)
4840 VISTA BLVD STE 108
SPARKS, NV 89436
Washoe County (775) 236-4950
CAMERON CODY GREEN BCBA
Behavior Analyst
4840 VISTA BLVD STE 108
SPARKS, NV 89436
Washoe County (775) 354-1380
DR. SHANNA KYUNGMI KIM DDS
Dentist (Orofacial Pain)
4840 VISTA BLVD STE 108
SPARKS, NV 89436
Washoe County (775) 362-9374

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 Shanna K. Kim Dds, PLLC's NPI number?

The NPI number for Shanna K. Kim Dds, PLLC is 1437976867. It was assigned to this organization in the NPPES registry on September 25, 2024. The provider is doing business as Nevada Orofacial Pain, TMJ and Sleep Clinic.

Where is Shanna K. Kim Dds, PLLC located?

Shanna K. Kim Dds, PLLC is located at 4840 Vista Blvd Ste 108, Sparks, NV 89436. The listed phone number is (775) 241-8489.

What is Shanna K. Kim Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

When was this NPI record last updated?

The NPPES record for Shanna K. Kim Dds, PLLC was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.