Kyle Barry, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

61575 Issued in KS

Practice address

3933 N Maize Rd Ste 100
Maize, KS 67101-9619

Phone

(316) 729-5670

NPI assigned

May 18, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1245618602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BELLEVIEW AVE STE 100B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121410",
            "telephone_number": "816-561-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 N MAIZE RD STE 100",
            "city": "MAIZE",
            "state": "KS",
            "postal_code": "671019619",
            "telephone_number": "316-729-5670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Belleview Ave Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641121410",
            "country_code": "US",
            "telephone_number": "816-561-9666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRY",
        "first_name": "KYLE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-18",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MO",
            "license": "2014022711",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "KS",
            "license": "61575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced PT, LLC
• Raul Alvarez, DC
• Trishelle Ann Barton, O.D.
• Delicia C. Bawl, APRN
• Bollenbach Chiropractic LLC
• Christopher Bollenbach, D.C.
• April Crothers, APRN

• All providers in Maize, KS
• Endodontics in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.