Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
FLAMINGO RD NIELSON PDC PLLC
Active
Organization
FLAMINGO RD NIELSON PDC PLLC
Active
Other names
Kohlmeyer Dental of Las Vegas
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHRISTENSEN (CREDENTIALING SPECIALIST)
(801) 305-3460
Entity
Organization
Contact information
Practice address
5680 W FLAMINGO RD STE B, LAS VEGAS, NV 89103-2339
(702) 367-1499
(702) 367-2531
Mailing address
727 E UTAH VALLEY DR, AMERICAN FORK, UT 84003-3345
(801) 305-3460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers