Individual provider Active NPI

Kyle M Besaw, DDS

  • Dentist
  • Urbandale, IA
National Provider Identifier
1952088031
Registry record updated Nov 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS-10144 Issued in IA
Practice address
7517 Douglas Ave Ste 8
Urbandale, IA 50322-3075
Phone
(515) 270-8301
NPI assigned
Jun 30, 2023
Last updated
Nov 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS-10144 IA Primary

Addresses

Primary practice location

7517 Douglas Ave Ste 8
Urbandale, IA 50322-3075

Mailing address

7517 Douglas Ave Ste 8
Urbandale, IA 50322-3075
Phone (515) 270-8301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20240308002154 IA Order and Referring Only - DentistPractitioner - Dentist 4486090784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS-10144IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chad Brown, D.D.S., P.C. PastSince Jul 2, 2023 Accepting new patients
The Dental Office PC PastSince Jul 2, 2023 Accepting new patients

Organizations & group practices 3

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": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793491200000",
    "number": "1952088031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 DOUGLAS AVE STE 8",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223075",
            "telephone_number": "515-270-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 DOUGLAS AVE STE 8",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223075",
            "telephone_number": "515-270-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESAW",
        "first_name": "KYLE",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-30",
        "last_updated": "2026-11-01",
        "certification_date": "2026-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-10144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.