KYLE SANSOM (NPI# 1396275087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396275087 |
| Entity Type | Individual |
| Full Name | KYLE SANSOM |
| Credential | DDS |
| Practice Address |
697 Louisiana Rd Dyess Afb TX 79607-1141 |
| Mailing Address |
697 Louisiana Rd Abilene TX 79607-1141 |
| Practice Telephone | 3256962304 |
| Mailing Telephone | 8018199178 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10391052-9922 | UT | Dental Providers |
| Street Address |
697 LOUISIANA RD |
| City | DYESS AFB |
| State | TX |
| Zip Code | 79607-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043295041 | Mark Adam Summers | Preventive Medicine | 697 Louisiana Rd, 7th Mdg, Dyess Afb, TX 79607-1141 | 2005-12-13 |
| 1548810013 | Alexander Jeffrey Lawson | Military Health Care Provider | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-09-17 |
| 1467017905 | Joshua Lee Helmstadter | Dentist | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-05-09 |
| 1477118321 | Jordan Walsh | Social Worker | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-05-07 |
| 1104387299 | Rob Henry | Dentist | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-03-29 |
| 1790261436 | William Deleon Lawson | Physician Assistant | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2018-07-16 |
| 1528562709 | Dougls M Young | Preventive Medicine | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2018-03-21 |
| 1861994766 | Ian Christopher Sanford | Military Health Care Provider | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2018-03-06 |
| 1669987053 | Nikole Sprunger | Dietitian, Registered | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2017-12-06 |
| 1548780984 | Vinh Nguy | Family Medicine | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2017-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255636 | David Goodwin | Technician | 9201 Louisiana Dr, Dyess, TX 79607 | 2019-06-24 |
| 1952811572 | Whitney Howard | Pharmacist | 7 Mdg, 697 Louisiana Dr, Dyess Afb, TX 79607 | 2017-10-10 |
| 1114150455 | Sara Mccoskey | Military Health Care Provider | 697 Lousiann Dr, Dyess Afb Texas, Abilene, TX 79607 | 2009-09-03 |
| 1942246095 | Philip Ralph Barone | Dentist | 7 Amds/sgpd, Dyess Afb, Abilene, TX 79607 | 2006-06-20 |
| 1861452096 | Evelyn L Stender | Psychiatry & Neurology | 697 Hosp Rd, 7mdos/sgomh, Dyess Afb, TX 79607 | 2006-03-23 |
| 1508833021 | Alicia W Edwards | Social Worker | 697 Lousianna Dr, Dyess Afb, TX 79607 | 2006-03-02 |
| 1538133947 | Sandra Sue Rogers | Nurse Practitioner | 796 Louisiana Ave, Dyess Afb, TX 79607 | 2006-02-14 |
| 1457715369 | Jason Kelley | Social Worker | 697 Lousiana Drive, Dyess Afb, TX 79607 | 2016-04-06 |
| 1649519703 | William Mikizo Uechi | Physical Therapist | 697 Louisiana Drive, Dyess Afb, TX 79607 | 2013-02-10 |
| 1346577996 | Misti M Cox | Nurse Practitioner | 697 Louisiana Drive, Dyess Afb, TX 79607 | 2009-11-03 |
| Find all providers in zip 79607 | ||||
| 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 |
|---|---|---|---|---|
| 1518934652 | Randall G Griffin | Dentist | 697 Louisiana Dr, 7 Ados/sggd, Dyess Afb, TX 79607 | 2006-03-08 |
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| 1548860992 | Vequinox Pllc | Dentist | 2605 N Shary Rd, Mission, TX 78574-3221 | 2020-10-27 |
| 1952900466 | Gwendolyn Kines-mcleod Dds,pllc | Dentist | 401 N Ann St Ste B, Terrell, TX 75160-2549 | 2020-10-26 |
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1295334803 | Jpm Dental of Spring | Dentist | 7312 Louetta Rd Ste B119, Spring, TX 77379-6176 | 2020-10-23 |
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1710586029 | Whitestone Dental Center Pllc | Dentist | 500 W Whitestone Blvd Ste 102, Cedar Park, TX 78613-2271 | 2020-10-19 |
| 1841899226 | Calvin Eastwood Dds Pllc | Dentist | 3088 Basswood Blvd # 150, Fort Worth, TX 76137-1676 | 2020-10-18 |
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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.