Individual provider Active NPI

Kyle Eugene Aaron, D,D,S,

  • Dentist
  • League City, TX
National Provider Identifier
1821228875
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0024879 Issued in TX
Practice address
2095 W Main St
Ste a
League City, TX 77573-3581
Phone
(281) 332-1919
Fax
(281) 554-7525
NPI assigned
Jul 23, 2009
Last updated
Jul 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0024879 TX Primary

Addresses

Primary practice location

2095 W Main St
Ste a
League City, TX 77573-3581

Mailing address

2095 W Main St
Ste a
League City, TX 77573-3581
Phone (281) 332-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20231228000941 TX Order and Referring Only - DentistPractitioner - Dentist 6305158718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024879TXMDDentist
24879TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene L. Aaron, D.D.S., P.a. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1821228875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 W MAIN ST",
            "address_2": "STE A",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733581",
            "telephone_number": "281-332-1919",
            "fax_number": "281-554-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 W MAIN ST",
            "address_2": "STE A",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733581",
            "telephone_number": "281-332-1919",
            "fax_number": "281-554-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AARON",
        "first_name": "KYLE",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D,D,S,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0024879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.