Kyle Penland, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24894 Issued in FL

Practice address

2327 State Road 44
New Smyrna Beach, FL 32168-8205

Phone

(386) 957-5270

NPI assigned

May 28, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Comfortable Care Dental Health Professionals, P.a.

  dba Hammock Gardens Dental Care

  • General Practice Dentistry
  • New Smyrna Beach, FL
  • NPI 1497220099
  NPD (past)
• Victus Dental II PA

  • Dental Clinic/Center
  • Penscola, FL
  • NPI 1467917823
  NPD (past)

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1821611534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 STATE ROAD 44",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "321688205",
            "telephone_number": "386-957-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 STATE ROAD 44",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688205",
            "telephone_number": "386-957-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENLAND",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyler Joal Pavlish-Carpenter, APRN
• PCCC of Volusia LLC
• Jami L Peace, HAS
• Timothy G Pearson, LMT
• Jennifer Selene Peden, NP
• Miranda Kavita Persaud, PA-C
• Judy A Pfister, LMT
• William Henry Pflugfelder III, RPH
• Xuan H Phan, RPH
• Lindsey Pickard

• General Practice Dentistry in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.