DR. KYLE BOSK DMD
NPI 1104230804
Dentist - General Practice in Gladstone, MI
About Dr. Kyle Bosk Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYLE BOSK DMD (NPI 1104230804) is an individual general practice provider in Gladstone, Michigan, licensed in Michigan (2901021293) and active in the NPI registry since June 2014. He has opted out of Medicare through January 12, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Kyle Bosk 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 January 12, 2016 through January 12, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49837 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bosk's NPI number?
The NPI number for Kyle Bosk is 1104230804. It was assigned to this individual provider in the NPPES registry on June 20, 2014.
Where is Kyle Bosk located?
Kyle Bosk practices at 1103 Delta Ave, Gladstone, MI 49837. The listed phone number is (906) 428-1616.
What is Kyle Bosk's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kyle Bosk enrolled in Medicare?
No. Kyle Bosk has opted out of Medicare through January 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Kyle Bosk accept?
Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Kyle Bosk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kyle Bosk was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Dr. Kyle Bosk, DMD · NPI 1104230804
General Practice provider in Gladstone, Michigan. Individual provider, active in the CMS NPPES registry since June 20, 2014.
## Identity
- **NPI:** 1104230804 (Entity type: Individual)
- **Enumerated:** June 20, 2014
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 2901021293 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1103 DELTA AVE, Gladstone, MI 49837-1438
- **Phone:** (906) 428-1616 · **Fax:** (906) 428-2177
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 12, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** November 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104230804) · Data from the CMS NPPES public registry.