Kyle A. Milson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2015019041 Issued in MO

Practice address

3608 Faraon St
Saint Joseph, MO 64506-3044

Phone

(816) 364-6444

Fax

(816) 364-6929

NPI assigned

Jun 23, 2015

Last updated

Nov 10, 2021By the provider in NPPES

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 MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1316329618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064954",
            "telephone_number": "816-232-6818",
            "fax_number": "816-232-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063044",
            "telephone_number": "816-364-6444",
            "fax_number": "816-364-6929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 W US Highway 71",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "MO",
            "postal_code": "644851151",
            "country_code": "US",
            "telephone_number": "816-324-3121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 State St",
            "address_purpose": "LOCATION",
            "city": "Mound City",
            "state": "MO",
            "postal_code": "644701717",
            "country_code": "US",
            "telephone_number": "660-442-5369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILSON",
        "first_name": "KYLE",
        "middle_name": "A.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2015019041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Miller
• Tina Miller, FNP-BC
• Mandalyn J Mills, DO
• Sara Mills, BSPHARM, RPH
• Rebecca D. Millsap, D.C.
• Mint Dental St. Joseph
• Missouri CVS Pharmacy LLC (CVS Pharmacy# 10506)
• Missouri CVS Pharmacy LLC (CVS Pharmacy 08236)
• Missouri CVS Pharmacy LLC (CVS Pharmacy #17093)
• Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #05645)

• General Practice Dentistry in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.