Kyle W Rogers DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KYLE W ROGERS DDS INC

Practice address

409 S Morgan St
Granbury, TX 76048-1957

Phone

(817) 579-0177

NPI assigned

Jul 7, 2020

Organization subpart

No

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

Authorized official

Name

Kyle Rogers, DDSNPI 1811010408

Title

President

Phone

(817) 579-0177

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle W Rogers, DDS INC

  • Dentist
  • Granbury, TX
  • NPI 1811010408
  NPD Authorized official

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1427676410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S MORGAN ST",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481957",
            "telephone_number": "817-579-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S MORGAN ST",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481957",
            "telephone_number": "817-579-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE W ROGERS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-579-0177",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ailey Danielle Kubala
• David Larry Kuban, D.O.
• Brandi Kulczycki
• Andre Alexander Kulisz, PHD, ND, ACN
• Lisa Annette Kutas, OT
• Laboratory Corporation of America
• Lake Granbury Chiropractic Center (Family Chiropractic Assoc., P.C.)
• Lake Granbury Chiropractic Ctr. (Family Chiropractic Asso., P.C.)
• Lake Granbury Dental & Orthodontics PLLC
• Lake Granbury HB Medical Services LLC

• Dental Clinic/Center in Granbury, TX
• Providers in Granbury, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.