Individual provider Active NPI

Kyle Ratliff, DDS

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1407219140
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12012769A Issued in IN
Practice address
7301 Georgetown Rd Ste 113
Indianapolis, IN 46268-4157
Phone
(317) 802-0649
NPI assigned
Mar 31, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12012769A IN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7301 Georgetown Rd Ste 113
Indianapolis, IN 46268-4157

Mailing address

7301 Georgetown Rd Ste 113
Indianapolis, IN 46268-4157
Phone (317) 802-0649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20170929003493 IN Order and Referring Only - DentistPractitioner - Dentist 0648545632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Family Dentistry, LLC CurrentSince Apr 10, 2022 Accepting new patients
Transformative Family Dentistry of Southern Indiana, LLC Current Accepting new patients
Ms Vibbert DDS PC PastSince Nov 8, 2020 Accepting new patients

Locations

7301 Georgetown Rd
Ste 113
Indianapolis, IN 46268
Phone (317) 802-0649

Organizations & group practices 3

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1407219140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 GEORGETOWN RD STE 113",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684157",
            "telephone_number": "317-802-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 GEORGETOWN RD STE 113",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684157",
            "telephone_number": "317-802-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012769A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.