Kenneth Samuelson, DDS
NPI 1275674574 · Dentist · Nellis Afb, NV
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Samuelson, DDS is a Dentist provider in Nellis Afb, NV (NPI 1275674574).
Provider details
- NPI number
- 1275674574
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 32611 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2018-11-19
Frequently asked questions
- What is Kenneth Samuelson's NPI number?
- Kenneth Samuelson's National Provider Identifier (NPI) is 1275674574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Samuelson's specialty?
- Kenneth Samuelson is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Kenneth Samuelson located?
- Kenneth Samuelson's practice location on file with NPPES is 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600.
- What is Kenneth Samuelson's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Samuelson is (702) 653-2600.
- Does Kenneth Samuelson accept Medicare?
- Kenneth Samuelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Samuelson's NPI active?
- Yes — Kenneth Samuelson's NPI (1275674574) is active in the NPPES registry as of the last update on 2018-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.