Individual provider Active NPI

Kyle Brandon Todd, D.D.S.

  • General Practice Dentistry
  • Cypress, TX
National Provider Identifier
1013178979
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23974 Issued in TX
Practice address
7630 Fry Rd
Suite 100
Cypress, TX 77433-3365
Phone
(832) 593-7400
Fax
(832) 593-7401
NPI assigned
Jun 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23974 TX Primary

Addresses

Primary practice location

7630 Fry Rd
Suite 100
Cypress, TX 77433-3365

Mailing address

7630 Fry Rd
Suite 100
Cypress, TX 77433-3365
Phone (832) 593-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23974TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1013178979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 FRY RD",
            "address_2": "SUITE 100",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333365",
            "telephone_number": "832-593-7400",
            "fax_number": "832-593-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 FRY RD",
            "address_2": "SUITE 100",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333365",
            "telephone_number": "832-593-7400",
            "fax_number": "832-593-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "KYLE",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.