Individual provider Active NPI

Kyle Evan Meason

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Weatherford, TX
National Provider Identifier
1710401021
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
32770 Issued in TX
Practice address
2035 Fort Worth Hwy Ste 600
Weatherford, TX 76086
Phone
(817) 341-7825
Fax
(817) 594-7835
NPI assigned
Jul 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 32770 TX Primary

Addresses

Primary practice location

2035 Fort Worth Hwy Ste 600
Weatherford, TX 76086

Mailing address

2035 Fort Worth Hwy Ste 600
Weatherford, TX 76086-4786
Phone (817) 341-7825

Other practice location 1

3814 S Malta St
Aurora, CO 80013
Phone (214) 793-7323

Other practice location 2

3814 S Malta St
Aurora, CO 80013
Phone (214) 793-7323

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kyle Meason DDS PLLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710401021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 FORT WORTH HWY STE 600",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760864786",
            "telephone_number": "817-341-7825",
            "fax_number": "817-594-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 FORT WORTH HWY STE 600",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76086",
            "telephone_number": "817-341-7825",
            "fax_number": "817-594-7835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3814 S Malta St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80013",
            "country_code": "US",
            "telephone_number": "214-793-7323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3814 S Malta St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80013",
            "country_code": "US",
            "telephone_number": "214-793-7323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEASON",
        "first_name": "KYLE",
        "middle_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "32770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.