Kyle Bisch

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

29875 W 339TH St
Osawatomie, KS 66064-4159

Phone

(417) 415-9814

NPI assigned

May 20, 2024

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2024.

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1053150094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40182 W 379TH ST",
            "city": "LANE",
            "state": "KS",
            "postal_code": "660424168",
            "telephone_number": "417-415-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29875 W 339TH ST",
            "city": "OSAWATOMIE",
            "state": "KS",
            "postal_code": "660644159",
            "telephone_number": "417-415-9814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40182 W 379th St",
            "address_purpose": "LOCATION",
            "city": "Lane",
            "state": "KS",
            "postal_code": "660424168",
            "country_code": "US",
            "telephone_number": "417-415-9814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISCH",
        "first_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Baez-Draiby, M.D.
• Morgan W Bailey
• Danielle Christine Banman, OTR
• Dennis E. Barden, DDS
• Milissa A Baugh, LMAC
• Kimberly Renee Breitenbach
• Rebekah Brown, A-GNP-BC
• Nicholas Bruzzese
• Kari L Burchett, O.D.
• James Burnett

• All providers in Osawatomie, KS
• Behavior Technician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.