Individual provider Active NPI

Devin Shane Kyrk, DDS

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1447908827
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7977 Issued in NE
Practice address
11717 Burt St Ste 100
Omaha, NE 68154-1500
Phone
(402) 492-9476
NPI assigned
Mar 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 7977 NE Primary

Addresses

Primary practice location

11717 Burt St Ste 100
Omaha, NE 68154-1500

Mailing address

11717 Burt St
Omaha, NE 68154-1500
Phone (402) 496-9476

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

Practice roles

OrganizationSpecialtyStatusNew patients
Purify Dental of Hugo PLLC CurrentSince May 11, 2025 Accepting new patients
Steven M Deaton, DDS, PC PastSince Nov 1, 2022 Accepting new patients
Wilson Dental PastSince Sep 25, 2022 Accepting new patients
Cristin C Wilson DDS General Practice Past Accepting new patients

Locations

1305 E Kirk St
Hugo, OK 74743
Phone (580) 326-9631

Organizations & group practices 4

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": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1447908827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11717 BURT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541500",
            "telephone_number": "402-496-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11717 BURT ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541500",
            "telephone_number": "402-492-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRK",
        "first_name": "DEVIN",
        "middle_name": "SHANE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-14",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.