Individual provider Active NPI

Kyle Donald Sever, D.D.S.

  • General Practice Dentistry
  • Purchase, NY
National Provider Identifier
1477894897
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
057549 Issued in NY
Practice address
3020 Westchester Ave Ste 200
Purchase, NY 10577-2510
Phone
(914) 966-7786
NPI assigned
Mar 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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 057549 NY Primary

Addresses

Primary practice location

3020 Westchester Ave Ste 200
Purchase, NY 10577-2510

Mailing address

3020 Westchester Ave Ste 200
Purchase, NY 10577-2510
Phone (914) 966-7786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160318000718 NY Order and Referring Only - DentistPractitioner - Dentist 1951608983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
057549NYMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: ksever19360@sbhny.direct-ci.net

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1477894897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 WESTCHESTER AVE STE 200",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772510",
            "telephone_number": "914-966-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 WESTCHESTER AVE STE 200",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772510",
            "telephone_number": "914-966-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVER",
        "first_name": "KYLE",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-11",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "057549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purchase, NY

Sources for this page

Verify at the official NPI Registry.