Individual provider Active NPI

Kyle Birkmeyer, DDS

  • General Practice Dentistry
  • Franklin, TN
National Provider Identifier
1760021075
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11812 Issued in TN
Practice address
114 Rand PL
Franklin, TN 37064-5531
Phone
(615) 794-1546
NPI assigned
Jan 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS042526 PA
General Practice Dentistry 1223G0001X 11812 TN Primary

Addresses

Primary practice location

114 Rand PL
Franklin, TN 37064-5531

Mailing address

114 Rand PL
Franklin, TN 37064-5531
Phone (615) 794-1546

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

State licenses

LicenseStateTypeSpecialty
DS042526PAMDDentist
11812TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
CD Tennessee Dental, P.C. Dentist CurrentSince Mar 6, 2022 Accepting new patients

Locations

114 Rand Pl
Franklin, TN 37064
Phone (615) 794-1546

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1760021075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 RAND PL",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645531",
            "telephone_number": "615-794-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 RAND PL",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645531",
            "telephone_number": "615-794-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKMEYER",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-03",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042526",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.