Kyle Joseph Stuart, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 14667 Issued in FL

Practice address

216 N Main St Ste B
Trenton, FL 32693-3427

Phone

(352) 463-2665

NPI assigned

May 11, 2007

Sex

Male

Sole proprietor

No

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 FL

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

State licenses

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.

• Kyle J Stuart DMD,PA

  • General Practice Dentistry
  • Trenton, FL
  • NPI 1952069627
  NPD
• Charles G Cox Jr DMD PA

  • Dentist
  • Trenton, FL
  • NPI 1497176853
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619182995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "MC INTOSH",
            "state": "FL",
            "postal_code": "326640455",
            "telephone_number": "352-463-2665",
            "fax_number": "352-463-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N MAIN ST STE B",
            "city": "TRENTON",
            "state": "FL",
            "postal_code": "326933427",
            "telephone_number": "352-463-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "KYLE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 14667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cora L Smith, RN
• Kenneth Smith, NP-C
• Southcare Pharmacy Inc
• Southcare Pharmacy Inc
• Virginia Taylor Stegall, EDS, LMHC, AND LMFT
• William Stutts, APRN
• Susan Joa Dba Reflections
• Jessica Deandra Taylor
• Phillip Thiranop, PA-C
• Sarah Tillis, APRN

• General Practice Dentistry in Trenton, FL
• Providers in Trenton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.