Kyle Humphrey

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11071 Issued in TN

Practice address

220 Town Center Pkwy Ste 130
Spring Hill, TN 37174-4408

Phone

(314) 860-0700

NPI assigned

Jul 9, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dentistry by Design

  • Dental Clinic/Center
  • Spring Hill, TN
  • NPI 1053175166
  NPD Authorized official
• Hendersonville Imperial Dental Care

  • General Practice Dentistry
  • Hendersonville, TN
  • NPI 1003486267
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1003468232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 TOWN CENTER PKWY",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371744407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 TOWN CENTER PKWY STE 130",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371744408",
            "telephone_number": "314-860-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Hudson, PT
• Kasey A Huff-Ignatin, M.D.
• Kennedy Hufferd
• Margaret Huffman
• Emily Hufham
• Kinsey Trent Huner, PA-C
• Patrick Alan Hunter, DDS
• Samuel Forrester Hunter, M.D., PH.D.
• Tracey Hunter, LCSW
• David Thomas Hutchings, MS,CCC-SLP

• General Practice Dentistry in Spring Hill, TN
• Providers in Spring Hill, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.