Christopher William Kyles, DMD, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

WA60851036 Issued in WA

Practice address

400 E McLeod Rd
Bellingham, WA 98226-5535

Phone

(360) 746-6492

Fax

(360) 746-6390

NPI assigned

Apr 10, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 8, 2019 through Aug 8, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Christopher W Kyles DMD MD PLLC

  dba Horizon Oral Surgery & Dental Implants

  • Oral and Maxillofacial Surgery Clinic/Center
  • Bellingham, WA
  • NPI 1114584968
  NPD (past) Authorized official

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1588920920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12236 SE 35TH CT",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972228600",
            "telephone_number": "360-927-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MCLEOD RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265535",
            "telephone_number": "360-746-6492",
            "fax_number": "360-746-6390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11982 NE Glisan St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972202143",
            "country_code": "US",
            "telephone_number": "972-373-4620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12000 SE 82nd Ave Ste 1145",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970867735",
            "country_code": "US",
            "telephone_number": "503-902-6185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8101 NW Pkwy dr",
            "address_2": "Suite F2",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "98662",
            "country_code": "US",
            "telephone_number": "360-882-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-8211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15121 SE McLoughlin Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972672830",
            "country_code": "US",
            "telephone_number": "971-267-2043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYLES",
        "first_name": "CHRISTOPHER",
        "middle_name": "WILLIAM",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D9796",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "WA60851036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gyatri Pratishna Kumari, CBT
• Cathleen E Kunz, LMP
• Diana Kurth, PT
• Jennifer A Kurtz, MA
• Kay Thwe Kyaw, M.D
• Alex Kypuros, SLP
• Penny Ann La Sac, RN
• Laboratory Corporation of America
• Danielle Labounty
• Sarah Lacic, LPN

• Oral and Maxillofacial Surgery (Dentist) in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.