Active NPI
Kyle Joseph Purvis, DMD
- Dentist
- Harrisburg, PA
National Provider Identifier
1184144255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS041374
- Practice address
- 4655 Linglestown Rd Ste a
Harrisburg, PA 17112-8544 - Phone
- (717) 652-4551
- NPI assigned
- Jun 21, 2017
- Sex
- Male
- Sole proprietor
- No
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 | DS041374 | PA | Primary |
Addresses
Primary practice location
4655 Linglestown Rd Ste a
Harrisburg, PA 17112-8544
Mailing address
97 Mohns Hill Rd
Reinholds, PA 17569-9699
Phone (484) 678-9508
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 |
|---|---|---|---|
| DS041374 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susquehanna Dental | 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.
-
- General Practice Dentistry
- Harrisburg, PA
- NPI 1306883681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498003200000",
"number": "1184144255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 MOHNS HILL RD",
"city": "REINHOLDS",
"state": "PA",
"postal_code": "175699699",
"telephone_number": "484-678-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4655 LINGLESTOWN RD STE A",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171128544",
"telephone_number": "717-652-4551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURVIS",
"first_name": "KYLE",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-21",
"last_updated": "2017-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
- Pure Healing Solutions
- Purposefully Soaring Counseling Services LLC
- Purposefully Soaring Counseling Services LLC
- Pursuecare Pennsylvania PC
- Mary Katherine Purtle, PA-C
- Tonya Beth Putt, CRNP
- Christopher Robert Pyke I, DPT
- Qita ASC-Harrisburg, LLC
- Bonnie Ray Quackenbush, MA,CCC-SLP
- Kay Denise Gaitan Que, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.