KYLIE RESNICK DDS - NPI 1023900941 - Dentist in Davenport, IA

Q: What is Kylie Resnick's NPI number?

The NPI number for Kylie Resnick is 1023900941. It was assigned to this individual provider in the NPPES registry on July 16, 2025. The provider is also known as Kylie Holubar Dds.

Q: What is Kylie Resnick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kylie Resnick was last updated on October 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kylie Resnick Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLIE RESNICK DDS (NPI 1023900941) is an individual general practice provider in Davenport, Iowa, licensed in Iowa (DDS-10380) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1023900941

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameKYLIE RESNICKCredential: DDS

Location Address125 SCOTT STDavenport, IA 52801-1130

Mailing Address500 W River DrDavenport, IA 52801-1014 · (563) 336-3000 · Fax (563) 336-3044

Phone(563) 336-3000

Fax(563) 336-3044

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 16, 2025

Last NPPES UpdateOctober 8, 2025

NPPES CertifiedOctober 8, 2025

✔ NPI 1023900941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IA · DDS-10380

Definition

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.

125 SCOTT ST, Davenport, IA 52801

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Other Names 1

Former Name (1)Kylie Holubar Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Iowa.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Resnick Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769981794

PECOS Enrollment IDI20250818001456

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK STEPHEN STUMPHY D.M.D.

Dentist (General Practice)