Kyle Raymond PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

18034 Issued in TX

Legal business name

KYLE RAYMOND PA

Doing business as

Westlake Pediatric Dentistry

Practice address

5656 Bee Caves Rd Ste B104
Austin, TX 78746

Phone

(512) 732-0022

NPI assigned

Apr 30, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Tammera Torres

Title

Credentialing Specialist

Phone

(512) 809-4162

Specialties & licenses 1

Addresses

Other names 1

• Westlake Pediatric Dentistry Doing business as

Tax ID family

Kyle Raymond PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kyle Raymond,PA

  • Pediatric Dentistry
  • West Lake Hills, TX
  • NPI 1851631261
  NPD tax ID

Locations

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1902216989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE B104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-732-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE B104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-732-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE RAYMOND PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "TAMMERA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "512-809-4162",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "18034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jayashree Kyatam, DMD
• Brinya Kydd, RD
• Joseph Kydon
• Kyla Winlow PLLC
• Claire Kylander, RN, MSN, FNP-C
• Courtney S Kyle, PA-C
• Jessica Kyle, RD, LD
• Kathryn Dusek Kyle, PA-C
• Sarah E. Kyle, LCSW
• Kyleen J Chen, D.D.S., P.C.

• Pediatric Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.