Individual provider Active NPI

Kyle Low, DDS

  • General Practice Dentistry
  • Temple City, CA
National Provider Identifier
1053843359
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS102290 Issued in CA
Practice address
9929 Las Tunas Dr
Temple City, CA 91780-2243
Phone
(626) 285-3161
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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 DDS102290 CA Primary

Addresses

Primary practice location

9929 Las Tunas Dr
Temple City, CA 91780-2243

Mailing address

9929 Las Tunas Dr
Temple City, CA 91780-2243
Phone (626) 285-3161

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
DDS102290CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
UCLA Venice Dental Center Past Accepting new patients
UCLA Venice Clinical General Practice Past Accepting new patients
Paul P. Shinto, D.D.S., Inc. General Practice PastSince Dec 1, 2019 Accepting new patients
Shinto and Kato General Dentistry General Practice PastSince Dec 3, 2023 Accepting new patients

Organizations & group practices 4

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1053843359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9929 LAS TUNAS DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802243",
            "telephone_number": "626-285-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9929 LAS TUNAS DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802243",
            "telephone_number": "626-285-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOW",
        "first_name": "KYLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS102290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.