Michael Kevlyn, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10020 Issued in CO

Practice address

8200 E Belleview Ave Ste 425E
Greenwood Village, CO 80111-2891

Phone

(303) 290-0962

Fax

(303) 721-6516

NPI assigned

Apr 24, 2007

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 CO

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Peak Vista Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
  • NPI 1730166034
  Medicare reassignment NPD
• Peak Vista Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
  • NPI 1871347443
  NPD

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1538387337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE STE 425E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112891",
            "telephone_number": "303-290-0962",
            "fax_number": "303-721-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE STE 425E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112891",
            "telephone_number": "303-290-0962",
            "fax_number": "303-721-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVLYN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri Anne Israelski PSYD LLC
• Lauren H Kerstein, LCSW
• Marcie A Kessel, FNP-C
• Kevin Kessell
• Kevin L Evans DDS PC
• Jenny Keyerleber, OTR/L
• Thomas J Keyes, MD
• Keystone Health & Wellness Center Inc
• Farah N Khan, MD
• Misbah Faraz Khan, PT

• General Practice Dentistry in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.