Active NPI
Kyler D McEwen, DMD
- Dentist
- Hurst, TX
National Provider Identifier
1285049924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30155
- Practice address
- 808 NE Mall Blvd
Hurst, TX 76053-4653 - Phone
- (817) 595-9675
- NPI assigned
- Jun 20, 2014
- Last updated
- Jun 20, 2014
- 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 | 30155 | TX | Primary |
Addresses
Primary practice location
808 NE Mall Blvd
Hurst, TX 76053-4653
Mailing address
6060 N Central Expy
#138
Dallas, TX 75206-5209
Phone (214) 757-4500
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 |
|---|---|---|---|
| 30155 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Care Northeast, PLLC | Dentist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1285049924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6060 N CENTRAL EXPY",
"address_2": "#138",
"city": "DALLAS",
"state": "TX",
"postal_code": "752065209",
"telephone_number": "214-757-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 NE MALL BLVD",
"city": "HURST",
"state": "TX",
"postal_code": "760534653",
"telephone_number": "817-595-9675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEWEN",
"first_name": "KYLER",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-20",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurst, TX
- Blair Estelle McClatchy, M.S., CCC-SLP
- Erica Nicole McCoy, COTA
- Kristi Lynn McCrary
- Malcolm Dwain McDonald, M.D.
- Mica McDonald, RDH
- Kimberly Leigh McGee
- Margaret Laracy McIntyre, LCSW
- McInvale & Associates (Family Counseling & Wellness Center)
- Joy Ann McInvale, PH D LPC LMFT
- Stephen McKenzie, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.