Mark A Kyle, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17104 Issued in OH

Practice address

6801 Mayfield Rd
Suite 246
Mayfield Heights, OH 44124-2208

Phone

(440) 449-0300

Fax

(440) 449-0300

NPI assigned

Jul 3, 2006

Last updated

May 20, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 OH

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

Specialty

Oral Surgery

Education

Case Western University School of Dental Medicine, 1982

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark a. Kyle, D.D.S., Inc.

  • Dentist
  • Mayfield Heights, OH
  • NPI 1235159633
  Authorized official Same address or phone

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1457380198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 MAYFIELD RD",
            "address_2": "SUITE 246",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242208",
            "telephone_number": "440-449-0300",
            "fax_number": "440-449-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 MAYFIELD RD",
            "address_2": "SUITE 246",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242208",
            "telephone_number": "440-449-0300",
            "fax_number": "440-449-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYLE",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Kathleen Kovacs, DO
• Joseph I Krajekian, DMD
• Jacob Dylan Kraus
• Mary K. Kroynovich
• Kristin E Kurtz
• Marius M. Laniauskas, D.D.S.
• Angela Marie Lapic, NP
• Christine Larosa
• Laser Spine Surgery Center of Cleveland, LLC
• Eric Scott Lawrence, DDS

• General Practice Dentistry in Mayfield Heights, OH
• Providers in Mayfield Heights, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.