Koolsmiles Dental Corporation
NPI 1972170389ActiveOrganization· Dentist, General Practice· North Las Vegas, NV
Dentist, General Practice in North Las Vegas, Nevada, registered in NPPES in June 2021. The authorized official on file is Derrick Pham, DDS, President.
Overview
| NPI | 1972170389 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 6, 2021 |
| Last updated in NPPES | Jun 6, 2021 |
| Certified by provider | Jun 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, General Practice providers in North Las Vegas
- 1336385301
- 1164296125
- 1952145278
- 1356822498
- 1285890004
- 1356257273
- 1083435366
- 1881439016
- 1629426283
- 1962318493
- 1518679026
- 1073373130