Active NPI
Kyle Robert Burgmeier, DDS
- General Practice Dentistry
- Mason City, IA
National Provider Identifier
1902160955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 08959
- Practice address
- 2800 4TH St SW
St. 1
Mason City, IA 50401 - Phone
- (641) 423-0064
- Fax
- (641) 421-7544
- NPI assigned
- Jun 25, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 08959 | IA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 08959 | IA | Primary |
Addresses
Primary practice location
2800 4TH St SW
St. 1
Mason City, IA 50401
Mailing address
2800 4TH St SW
Suite 1
Mason City, IA 50401
Phone (641) 423-0064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0228379 | Medicaid | IA |
Other names 1
- Dr. Kyle Robert Burgmer
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
| License | State | Type | Specialty |
|---|---|---|---|
| 08959 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1902160955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 4TH ST SW",
"address_2": "SUITE 1",
"city": "MASON CITY",
"state": "IA",
"postal_code": "50401",
"telephone_number": "641-423-0064",
"fax_number": "641-421-7544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 4TH ST SW",
"address_2": "ST. 1",
"city": "MASON CITY",
"state": "IA",
"postal_code": "50401",
"telephone_number": "641-423-0064",
"fax_number": "641-421-7544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGMEIER",
"first_name": "KYLE",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-25",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "08959",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "08959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0228379",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KYLE",
"last_name": "BURGMER",
"middle_name": "ROBERT",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.