DR. KYLE BURTON TYLER DMD NPI 1649630609

NPI Information

NPI: 1649630609
Provider Name: DR. KYLE BURTON TYLER, DMD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
515 DELAWARE ST SE 7-314 MOOS TOWER
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-7232
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DR. Kyle Burton Tyler, DMD is a student in an organized health care education training program in Minneapolis, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Kyle Burton Tyler, DMD NPI is 1649630609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

515 DELAWARE ST SE 7-314 MOOS TOWER
MINNEAPOLIS, MN
ZIP 55455-357
Phone: (612) 626-7232

The NPI 1649630609 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/2/2016 and was last updated on 11/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DN10433	MINNESOTA	No
2	204E00000X	Oral & Maxillofacial Surgery		DN10433	MINNESOTA	No
3	390200000X	Student in an Organized Health Care Education/Training Program		D14033	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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