Individual provider Active NPI

Kyle Lalanne McIntire, PROPHY TECH

  • Dental Assistant
  • San Diego, CA
National Provider Identifier
1649126137
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
Practice address
2310 Craven St Unit 3230
San Diego, CA 92136-5311
Phone
(513) 604-7471
NPI assigned
Mar 6, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X Primary

Addresses

Primary practice location

2310 Craven St Unit 3230
San Diego, CA 92136-5311

Mailing address

3715 Norman Scott Rd # B1808Ar
San Diego, CA 92136-5311
Phone (513) 604-7471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1649126137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 NORMAN SCOTT RD # B1808AR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921365311",
            "telephone_number": "513-604-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 CRAVEN ST UNIT 3230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921365311",
            "telephone_number": "513-604-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "KYLE",
        "middle_name": "LALANNE",
        "name_prefix": "Mr.",
        "credential": "PROPHY TECH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.