Individual provider Active NPI

Kyle Noel Borton, DDS

  • General Practice Dentistry
  • Shelby Township, MI
National Provider Identifier
1972359693
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901602101 Issued in MI
Practice address
54826 Dequindre Rd
Shelby Township, MI 48316-5625
Phone
(248) 601-6320
NPI assigned
Apr 24, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901602101 MI Primary

Addresses

Primary practice location

54826 Dequindre Rd
Shelby Township, MI 48316-5625

Mailing address

54826 Dequindre Rd
Shelby Township, MI 48316-5625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240624004857 MI Order and Referring Only - DentistPractitioner - Dentist 6406399005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901602101MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Regency Family Dental CurrentSince Jun 29, 2025 Accepting new patients
Kyle N Borton DDS PLLC Current Accepting new patients

Locations

54826 Dequindre Rd
Shelby Township, MI 48316
Phone (248) 601-6320

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": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1972359693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54826 DEQUINDRE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54826 DEQUINDRE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165625",
            "telephone_number": "248-601-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTON",
        "first_name": "KYLE",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901602101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.