Individual provider Active NPI

Kyle Nicholas Katynski, DDS, RDH

  • General Practice Dentistry
  • Troy, MI
National Provider Identifier
1033568845
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901021949 Issued in MI
Practice address
4893 Rochester Rd Ste C
Troy, MI 48085-4971
Phone
(248) 341-5330
Fax
(248) 341-5340
NPI assigned
Jun 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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 2901021949 MI Primary

Addresses

Primary practice location

4893 Rochester Rd Ste C
Troy, MI 48085-4971

Mailing address

4893 Rochester Rd Ste C
Troy, MI 48085-4971
Phone (248) 341-5330

Other practice location 1

15400 19 Mile Rd Ste 180
Clinton Township, MI 48038-6311
Phone (586) 228-0909

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
2901021949MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Family and Cosmetic Dentistry Current Accepting new patients
Alan F. Robinson DDS PC General Practice Past Accepting new patients

Locations

4893 Rochester Rd
Ste C
Troy, MI 48085
Phone (248) 341-5330

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1033568845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4893 ROCHESTER RD STE C",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854971",
            "telephone_number": "248-341-5330",
            "fax_number": "248-341-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4893 ROCHESTER RD STE C",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854971",
            "telephone_number": "248-341-5330",
            "fax_number": "248-341-5340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15400 19 Mile Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480386311",
            "country_code": "US",
            "telephone_number": "586-228-0909",
            "fax_number": "586-228-7655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATYNSKI",
        "first_name": "KYLE",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DDS, RDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.