Kenneth Samuelson, DDS
Kenneth Samuelson is a Dentist provider (Dentist) practicing in Nellis Afb, NV, registered in the NPPES registry with NPI 1275674574 since 2007. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1275674574 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Kenneth Samuelson |
| Credential | DDS |
| Sex | Male |
| Practice address | 4700 LAS VEGAS BLVD N, Nellis Afb, NV, 89191 |
| Phone | 7026532600 |
| Enumeration date | 2007-02-09 |
| Last updated in NPPES | 2018-11-19 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 32611 | CA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Kenneth Samuelson, DDS NPI: 1275674574 Taxonomy: 122300000X (Dentist) Address: 4700 LAS VEGAS BLVD N, Nellis Afb, NV, 89191
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366445389 | Frank Andriola | Individual | Internal Medicine Physician | Nellis Afb, NV |
| 1922001056 | James Zinser | Individual | Family Medicine Physician | Nellis Afb, NV |
| 1396749081 | Carla Fisher | Individual | Medical Physician Assistant | Nellis Afb, NV |
| 1982602660 | Guy Gober | Individual | Urology Physician | Nellis Afb, NV |
| 1679565402 | Benjamin Clarke | Individual | Dentist | Nellis Afb, NV |
| 1134111610 | Wilbert Cain | Individual | Family Medicine Physician | Las Vegas, NV |
| 1962495481 | Patrick Hsieh | Individual | Emergency Medicine Physician | Nellis Afb, NV |
| 1972597748 | Scott Hartwich | Individual | Aerospace Medicine Physician | Nellis Afb, NV |
Verify this record
Cross-check NPI 1275674574 against the authoritative CMS record: view Kenneth Samuelson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2018-11-19.