Kyle Dale Tracy, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5993 Issued in MT

Practice address

152 S 32ND St W
Suite B
Billings, MT 59102-6875

Phone

(406) 655-0170

Fax

(406) 655-2271

NPI assigned

May 24, 2010

Sex

Male

Sole proprietor

No

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

Enrolled in MT, WY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Oral Surgery

Education

University of Louisville School of Dentistry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mt Oms Specialty Dental Services, PLLCGroup PAC ID 7911391933, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mt Oms Specialty Dental Services, PLLC

  dba Billings Oral Surgery & Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Billings, MT
  • NPI 1255007589

  WY

  Medicare reassignment Care Compare group NPD
• Mt Oms Specialty Dental Services, PLLC

  dba Billings Oral Surgery & Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Billings, MT
  • NPI 1578329603
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• Billings Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sheridan, WY
  • NPI 1811417942
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1225357734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 S 32ND ST W",
            "address_2": "SUITE B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026875",
            "telephone_number": "406-655-0170",
            "fax_number": "406-655-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 S 32ND ST W",
            "address_2": "SUITE B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026875",
            "telephone_number": "406-655-0170",
            "fax_number": "406-655-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "KYLE",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MT",
            "license": "5993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron James Townsend, DDS, MS
• Kyle H Townsend, PHARM.D., BCPS
• Remington Meyer Townsend, DDS
• Tanner Nicholas Townsend, DDS
• Taylor R Townsend, RDH
• Trailhead Pediatric Dentistry
• Transformative Counseling LLC
• Transformed Renu Counseling PC
• Maycie Shayleen Trapp, CPM, LM
• Treasure State Orthotic & Prosthetic Clinic, Inc (yellowstone o&p)

• Oral and Maxillofacial Surgery (Dentist) in Billings, MT
• Providers in Billings, MT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.

Verify at the official NPI Registry.