DR. KYLE MACRAE HIGGINBOTTOM (NPI# 1144613365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144613365 |
| Entity Type | Individual |
| Full Name | DR. KYLE MACRAE HIGGINBOTTOM |
| Credential | D.D.S. M.S. |
| Practice Address |
556 Cynwood Dr Ste A Easton MD 21601-3886 |
| Practice Telephone | 4108223626 |
| Practice Fax Number | 4108229520 |
| Mailing Telephone | 4108223626 |
| Mailing Fax Number | 4108229520 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
15388 | MD | Dental Providers |
| Street Address |
556 CYNWOOD DR STE A |
| City | EASTON |
| State | MD |
| Zip Code | 21601-3886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275028326 | John William Serino | Dentist | 538 Cynwood Dr Ste 1, Easton, MD 21601-3887 | 2018-06-29 |
| 1356636377 | William F Vogt | Dentist | 3501 Freemansburg Ave, Easton, PA 18045-5106 | 2011-06-17 |
| 1528392263 | Erik Milne Higginbottom | Dentist | 556-a Cynwood Drive, Easton, MD 21601 | 2009-09-29 |
| 1518177815 | Mark Allan Higginbottom | Dentist | 556a Cynwood Dr, Easton, MD 21601-3805 | 2007-05-23 |
| 1962622779 | Jean Mcgill | Dentist | 3311 Northwood Ave, Easton, PA 18045-8004 | 2007-04-26 |
| 1134258619 | John W. Serino, Dds, Ms, Pa | Dentist | 538 Cynwood Dr, Suite 1, Easton, MD 21601-3805 | 2007-03-02 |
| 1912292939 | William Vogt Dds PC | Dentist | 3501 Freemansburg Ave, Easton, PA 18045-5106 | 2011-06-17 |
| 1760594741 | Brian P. Loftus | Dentist | 3311 Nazareth Rd, Easton, PA 18045-2017 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184234536 | Sheng Ge | Dentist | 305 W Fayette St Apt 1401, Baltimore, MD 21201-3467 | 2020-07-31 |
| 1619590668 | Gaithersburg Ortho LLC | Dentist | 814 W Diamond Ave Ste 300, Gaithersburg, MD 20878-1448 | 2020-05-26 |
| 1043859119 | Orthoroks, LLC | Dentist | 100 Shawan Rd Ste E, Hunt Valley, MD 21030-1459 | 2020-01-06 |
| 1609412592 | Nuclear Smiles LLC | Dentist | 10100 Twin Rivers Rd Apt 121, Columbia, MD 21044-2578 | 2019-11-26 |
| 1194361519 | Mary C. Trahar, Dds, Pa | Dentist | 52 Denton Plz, Denton, MD 21629-9501 | 2019-11-20 |
| 1376187336 | Chevy Chase Orthodontics | Dentist | 8401 Connecticut Ave Ste 620, Chevy Chase, MD 20815-5803 | 2019-11-03 |
| 1003465477 | Meghan Mcinnes Palmer | Dentist | 8322 Bellona Ave Ste 310, Towson, MD 21204-2077 | 2019-09-09 |
| 1245716232 | Tj Orthodontics | Dentist | 198 Thomas Johnson Dr Ste 103, Frederick, MD 21702-4432 | 2018-07-13 |
| 1487146353 | Christopher Jason Scott | Dentist | 10045 Baltimore National Pike Ste A1, Ellicott City, MD 21042-3673 | 2018-06-05 |
| 1124518089 | Dental Sleep Solutions of Maryland | Dentist | 1407 York Rd Ste 204, Lutherville, MD 21093-6042 | 2018-05-16 |
| Find all providers with the same taxonomy | ||||
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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.