Kyle Frederick Gies, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020645 Issued in MI

Practice address

6123 Harvey St
Norton Shores, MI 49444-6728

Phone

(213) 865-6945

Fax

(231) 798-1150

NPI assigned

May 25, 2012

Last updated

Dec 9, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Christopher Sortman, DDS, P.C.

  dba Community Shores Dental

  • Dental Clinic/Center
  • Norton Shores, MI
  • NPI 1548450240
  NPD (past)
• Splendent Implant Center

  • Oral and Maxillofacial Surgery Clinic/Center
  • Norton Shores, MI
  • NPI 1891297057
  NPD (past)

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1013277961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6123 HARVEY ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494446728",
            "telephone_number": "231-865-6945",
            "fax_number": "231-798-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6123 HARVEY ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494446728",
            "telephone_number": "213-865-6945",
            "fax_number": "231-798-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIES",
        "first_name": "KYLE",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-25",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raina Garg, MBBS
• Kathryn Charlene Gerard, AU.D
• Elizabeth Rachel Gibbs, MS OTRL
• William James Gibner
• Robert A Gielczyk, MD
• Adrianna E Gilchrist
• Nathan Duane Gilmore, OD
• Angela Marie Goodman
• Natalie Goran, D.O.
• Katie Christina Gorbold, APRN-CNM

• General Practice Dentistry in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.