KYLE DAVIS (NPI# 1104442144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104442144 |
| Entity Type | Individual |
| Full Name | KYLE DAVIS |
| Practice Address |
807 W Gardner Dr Marion IN 46952-1819 |
| Practice Telephone | 7656133128 |
| Mailing Telephone | 7656133128 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12013415A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518424191 | Kyle Davis | Physical Therapy Assistant | 6485 Beard Ave, Cocoa, FL 32927-4255 | 2019-03-01 |
| 1104299825 | Kyle Davis | Technician, Other | 310 E Liberty St Apt 12, Plymouth, MI 48170-1476 | 2015-11-03 |
| 1821331968 | Kyle G Davis | Pharmacist | 250 E Jewett Blvd, White Salmon, WA 98672-3000 | 2013-03-27 |
| 1255898532 | Kyle Patrick Davis | Behavior Technician | 901 Sneath Ln Ste 105, San Bruno, CA 94066-2415 | 2019-02-22 |
| 1235600206 | Kyle Andrew Davis | Social Worker | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2018-12-17 |
| 1114492501 | Kyle Elliott Davis | Case Manager/Care Coordinator | 19019 Ventura Blvd, Tarzana, CA 91356-3253 | 2018-10-11 |
| 1376905745 | Kyle Erik Davis | Family Medicine | 1600 E High St, Pottstown, PA 19464-5008 | 2016-03-24 |
| 1063870178 | Kyle Davis | Genetic Counselor, MS | 2677 E Parleys Way, Salt Lake City, UT 84109-1617 | 2016-02-03 |
| 1053796664 | Kyle Davis | Case Manager/Care Coordinator | 3360 N Highway 59, Suite K, Merced, CA 95348-9404 | 2015-07-24 |
| 1801273008 | Kyle Davis | Psychologist | 100 E Idaho St, Boise, ID 83712-6267 | 2015-04-27 |
| Street Address |
807 W GARDNER DR |
| City | MARION |
| State | IN |
| Zip Code | 46952-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265572713 | Christine M Root | Dentist | 807 W Gardner Dr, Marion, IN 46952-1819 | 2007-02-07 |
| 1255955373 | Shaun William Herron | Dentist | 807 W Gardner Dr, Marion, IN 46952-1819 | 2020-06-04 |
| 1982086088 | Elisheva Tinsley | Dentist | 807 W Gardner Dr, Marion, IN 46952-1819 | 2015-06-24 |
| 1487794608 | George K Bruner | Dentist | 807 W Gardner Dr, Marion, IN 46952-1819 | 2007-02-07 |
| 1801936018 | Bruner Dental Center,llc, PC | Dentist | 807 W Gardner Dr, Marion, IN 46952-1819 | 2007-02-07 |
| 1164562377 | Clifford R Sneed | Dentist | 807 W Gardner Dr, Marion, IN 46952-1819 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894450 | Sigmund G Gagni Dds LLC | Dentist | 1271 Crescent Heights Rd Ste 206, Marion, OH 43302-6455 | 2020-09-01 |
| 1528545522 | Erica Recker | Dentist | 915 Barrington Pkwy Ste C, Marion, IA 52302-8974 | 2018-07-23 |
| 1740710052 | Ethan Thomas Grounds | Dentist | 1601 E Deyoung St, Marion, IL 62959-5015 | 2017-06-19 |
| 1740661859 | Deidre Childers | Dentist | 2801 Civic Circle Blvd Ste 7, Marion, IL 62959-5276 | 2015-06-15 |
| 1720352321 | Paul E Peltier IIi | Dentist | 670 Marion Williamsport Rd E, Marion, OH 43302-8683 | 2012-02-28 |
| 1215225974 | Katherine Paige Stuart | Dentist | 937 N Main St, Marion, VA 24354-4117 | 2011-07-15 |
| 1639469968 | Thomas Woods | Dentist | 2702 W Deyoung St, Marion, IL 62959-4950 | 2011-04-07 |
| 1720300973 | Timothy G Chase | Dentist | 1241 E Center St, Marion, OH 43302-4446 | 2010-02-15 |
| 1629206560 | Justin Joseph Gilling | Dentist | 725 W Ramsdell St, Marion, WI 54950-8509 | 2009-06-30 |
| 1497914238 | Michael Colwell | Dentist | 8111 E 300 S, Marion, IN 46953-9523 | 2008-06-06 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.