Active NPI
Kyle Coleman Kepler, DDS
- Dentist
- Gladstone, MO
National Provider Identifier
1083908255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2011015043
- Practice address
- 5601 NE Antioch Rd Ste 5
Gladstone, MO 64119-2375 - Phone
- (816) 455-1200
- NPI assigned
- Jun 6, 2011
- Last updated
- Jan 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2011015043 | MO | Primary |
Addresses
Primary practice location
5601 NE Antioch Rd Ste 5
Gladstone, MO 64119-2375
Mailing address
5601 NE Antioch Rd Ste 5
Gladstone, MO 64119-2375
Phone (816) 455-1200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2011015043 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kyle Kepler, DDS, LLC | Current | Accepting new patients |
Locations
5601 N Antioch Rd
Ste 5
Gladstone, MO 64119
Phone (816) 455-1200
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1083908255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 NE ANTIOCH RD STE 5",
"city": "GLADSTONE",
"state": "MO",
"postal_code": "641192375",
"telephone_number": "816-455-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 NE ANTIOCH RD STE 5",
"city": "GLADSTONE",
"state": "MO",
"postal_code": "641192375",
"telephone_number": "816-455-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPLER",
"first_name": "KYLE",
"middle_name": "COLEMAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-06",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2011015043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gladstone, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.