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KYLE PELKEY DMD
NPI 1093937559
Dentist - General Practice in Aurora, CO

Active since May 03, 2007Opted out of Medicare · through Aug 16, 2027
UNIVERSITY OF COLORADO SCHOOL OF DENTAL MEDICINE, 13065 E 17TH AVE, AURORA, CO 80045(303) 724-7112 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2021, Jul 2, 2018 (2 updates tracked since 2018).

About Kyle Pelkey Dmd NPPES

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

KYLE PELKEY DMD (NPI 1093937559) is an individual general practice provider in Aurora, Colorado, licensed in Colorado (8626) and active in the NPI registry since May 2007. He has opted out of Medicare through August 16, 2027.

NPPES Registry Identity

NPI1093937559
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKYLE PELKEYCredential: DMD
Location AddressUNIVERSITY OF COLORADO SCHOOL OF DENTAL MEDICINE, 13065 E 17TH AVEAurora, CO 80045-0000
Mailing Address4102 Pinion DrUsaf Academy, CO 80840-2502 · (719) 333-5051
Phone(303) 724-7112
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateJune 4, 20212 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
✔ NPI 1093937559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · 8626
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.
UNIVERSITY OF COLORADO SCHOOL OF DENTAL MEDICINE, Aurora, CO 80045
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Kyle Pelkey Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 16, 2021 through August 16, 2027.

Opt-Out Effective DateAugust 16, 2021
Opt-Out In Effect ThroughAugust 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Pelkey's NPI number?

The NPI number for Kyle Pelkey is 1093937559. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Kyle Pelkey located?

Kyle Pelkey practices at University Of Colorado School Of Dental Medicine 13065 E 17th Ave, Aurora, CO 80045. The listed phone number is (303) 724-7112.

What is Kyle Pelkey's specialty?

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

Is Kyle Pelkey enrolled in Medicare?

No. Kyle Pelkey has opted out of Medicare through August 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kyle Pelkey was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.