Organization Active NPI

Kyle Hammer DDS PLLC

  • Dental Clinic/Center
  • Duluth, MN
National Provider Identifier
1972952265
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
13215 Issued in MN
Legal business name
KYLE HAMMER DDS PLLC
Practice address
1432 London Rd
Duluth, MN 55805-2425
Phone
(218) 728-5095
NPI assigned
Jun 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Dr. Kyle D Hammer, DDS
Title
Owner Dentist
Phone
(218) 728-5095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 13215 MN Primary

Addresses

Primary practice location

1432 London Rd
Duluth, MN 55805-2425

Mailing address

1432 London Rd
Duluth, MN 55805

National Provider Directory

National Provider Directory

Locations

1432 London Rd
Duluth, MN 55805
Phone (218) 728-5095

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1972952265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052425",
            "telephone_number": "218-728-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE HAMMER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "218-728-5095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "13215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.