Kyle D. Hammer, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D13215 Issued in MN

Practice address

1432 London Rd
Duluth, MN 55805-2425

Phone

(218) 728-5095

NPI assigned

May 28, 2013

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 MN

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.

• Miller Hill Dental PLLC

  • General Practice Dentistry
  • Duluth, MN
  • NPI 1487202370
  NPD Authorized official
• West Range Dental PLLC

  • Dental Clinic/Center
  • Grand Rapids, MN
  • NPI 1437978004
  NPD Authorized official
• Nbo Dental, LLC

  • Dental Clinic/Center
  • Superior, WI
  • NPI 1689378333
  NPD Authorized official

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1679910905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052425",
            "telephone_number": "218-728-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "KYLE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Thomas Ham, DPT
• Abdurrahman M Hamadah, MD
• Amna Osman Hamed
• Brittany Morgan Hamm, APRN, CNP
• Christine Colton Hammer, DDS, MS
• Brian Steven Hammers, LPCC
• Carrie Joy Hammes
• Alyssa Hammitt, MPH, RD, LD
• Shiloh Hammond
• Kathleen Susan Hamski

• Dentist in Duluth, MN
• Providers in Duluth, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.