Kyle Coleman Kepler, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2011015043 Issued in MO

Practice address

5601 NE Antioch Rd Ste 5
Gladstone, MO 64119-2375

Phone

(816) 455-1200

NPI assigned

Jun 6, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kyle Kepler, DDS, LLC

  • General Practice Dentistry
  • Gladstone, MO
  • NPI 1477123586
  NPD Authorized official

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": []
}

• KC Dentistry 4 Kids LLC
• KC Family Eyecare PC
• Kerri Lynn Keberlein-Lynn, ARNP, FNP-C
• Kendallwood Senior Properties, LLC
• Tanairi Kennedy
• Haroon Khalid, M.D.
• Jennifer R King, MA CCC A
• Kayla Klein
• Craig Knoeber, PHARMD
• Everett E Koehn, DO

• Dentist in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Dentist in Missouri

• 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.

Verify at the official NPI Registry.