Active NPI
Kyle Brent Dotson, O.D.
- Optometrist
- Topeka, KS
National Provider Identifier
1174515985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1135-3
- Practice address
- 2211 SE 29TH St
Topeka, KS 66605-2461 - Phone
- (785) 266-3240
- NPI assigned
- Aug 17, 2005
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1135-3 | KS | Primary |
Addresses
Primary practice location
2211 SE 29TH St
Topeka, KS 66605-2461
Mailing address
2211 SE 29TH St
Topeka, KS 66605-2461
Phone (785) 266-3240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5335 | Other | KS | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050330001227 | KS | Practitioner - Optometry | 1254388440 | Practice locations: Topeka, KS |
| O20100930083427 | KS | DME Supplier - Physician - Optometrist | 6608993266 | Practice locations: Topeka, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2211 SE 29TH St
Topeka, KS 66605-2461
Phone (785) 266-3240
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1135-3 | KS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cavanaugh Eye Center, PA | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1174515985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 SE 29TH ST",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666052461",
"telephone_number": "785-266-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 SE 29TH ST",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666052461",
"telephone_number": "785-266-3240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTSON",
"first_name": "KYLE",
"middle_name": "BRENT",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1135-3",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "5335",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.