Individual provider Active NPI

Kyle Daniel, DDS

  • General Practice Dentistry
  • Boulder, CO
National Provider Identifier
1861632044
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9834 Issued in CO
Practice address
2800 Valmont Rd
Boulder, CO 80301-1310
Phone
(303) 444-3232
Fax
(303) 444-3242
NPI assigned
Feb 27, 2009
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12011265A IN
General Practice Dentistry 1223G0001X 9834 CO Primary

Addresses

Primary practice location

2800 Valmont Rd
Boulder, CO 80301-1310

Mailing address

2800 Valmont Rd
Boulder, CO 80301-1310
Phone (303) 444-3232

Other practice location 1

3101 S Western Ave
Marion, IN 46953-3966
Phone (765) 662-1022

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
9834COMDGeneral Practice Dentistry
12011265AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kyle N. Daniel DDS PC General Practice Current Accepting new patients
Today'S Choice Dental PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861632044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 VALMONT RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011310",
            "telephone_number": "303-444-3232",
            "fax_number": "303-444-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 VALMONT RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011310",
            "telephone_number": "303-444-3232",
            "fax_number": "303-444-3242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469533966",
            "country_code": "US",
            "telephone_number": "765-662-1022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011265A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

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.