Individual provider Active NPI

Kyle David Eberlein, DDS

  • General Practice Dentistry
  • Hurst, TX
National Provider Identifier
1407936180
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16493 Issued in TX
Practice address
556 W Bedford Euless Rd Ste E
Hurst, TX 76053-3924
Phone
(817) 282-9321
Fax
(817) 282-9759
NPI assigned
Oct 16, 2006
Reactivated
Aug 14, 2025
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16493 TX Primary

Addresses

Primary practice location

556 W Bedford Euless Rd Ste E
Hurst, TX 76053-3924

Mailing address

556 W Bedford Euless Rd Ste E
Hurst, TX 76053-3924
Phone (817) 282-9321

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

LicenseStateTypeSpecialty
16493TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1407936180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 W BEDFORD EULESS RD STE E",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533924",
            "telephone_number": "817-282-9321",
            "fax_number": "817-282-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 W BEDFORD EULESS RD STE E",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533924",
            "telephone_number": "817-282-9321",
            "fax_number": "817-282-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLEIN",
        "first_name": "KYLE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-08-14",
        "deactivation_date": "2025-06-12",
        "reactivation_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.