Active NPI
Hend Kisaibat, BDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Tyler, TX
National Provider Identifier
1992660070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 42011
- Practice address
- 1932 E SE Loop 323
Tyler, TX 75701-8337 - Phone
- (430) 205-8686
- NPI assigned
- Dec 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 42011 | TX | Primary |
Addresses
Primary practice location
1932 E SE Loop 323
Tyler, TX 75701-8337
Mailing address
1675 Old Canton Rd
Marietta, GA 30062-2619
Phone (404) 667-3780
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 |
|---|---|---|---|
| 42011 | TX | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vincent Young, M.D., P.a. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1766102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1992660070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 OLD CANTON RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300622619",
"telephone_number": "404-667-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1932 E SE LOOP 323",
"city": "TYLER",
"state": "TX",
"postal_code": "757018337",
"telephone_number": "430-205-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISAIBAT",
"first_name": "HEND",
"credential": "BDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-19",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "42011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.