Individual provider Active NPI

David Joseph McIntyre, DDS

  • General Practice Dentistry
  • Kyle, TX
National Provider Identifier
1215216197
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27284 Issued in TX
Practice address
115 Kohlers Xing Ste 100
Kyle, TX 78640-2461
Phone
(512) 268-4011
Fax
(512) 268-0409
NPI assigned
Aug 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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 27284 TX Primary

Addresses

Primary practice location

115 Kohlers Xing Ste 100
Kyle, TX 78640-2461

Mailing address

115 Kohlers Xing Ste 100
Kyle, TX 78640-2461
Phone (512) 268-4011

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
27284TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
McIntyre Family Dentistry, PLLC Dentist CurrentSince Apr 11, 2021 Accepting new patients

Locations

115 Kohlers Xing
Ste 100
Kyle, TX 78640
Phone (512) 268-4011

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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1215216197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 KOHLERS XING STE 100",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402461",
            "telephone_number": "512-268-4011",
            "fax_number": "512-268-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KOHLERS XING STE 100",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402461",
            "telephone_number": "512-268-4011",
            "fax_number": "512-268-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.