DR. KYLE CLAYTON KIRK DMD, MSD
NPI 1164876280
Dentist - Pediatric Dentistry in Mukilteo, WA
About Dr. Kyle Clayton Kirk Dmd, Msd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYLE CLAYTON KIRK DMD, MSD (NPI 1164876280) is an individual pediatric dentistry provider in Mukilteo, Washington, licensed in Kentucky (10153) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kyle Clayton Kirk Dmd, Msd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kyle Kirk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, KY 40504
- Reassigned Medicare billing, Kentucky enrollment
- 1,761 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98275 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 6
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 Kirk's NPI number?
The NPI number for Kyle Kirk is 1164876280. It was assigned to this individual provider in the NPPES registry on April 14, 2016.
Where is Kyle Kirk located?
Kyle Kirk practices at 4420 106th St SW, Mukilteo, WA 98275. The listed phone number is (253) 417-8274.
What is Kyle Kirk's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.
Is Kyle Kirk enrolled in Medicare?
Yes. Kyle Kirk is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kyle Kirk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Kirk reassigns Medicare benefits to University Of Kentucky (Lexington, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Kirk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Kirk accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Kyle Kirk 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 Kirk was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Kyle Clayton Kirk, DMD, MSD · NPI 1164876280
Pediatric Dentistry provider in Mukilteo, Washington. Individual provider, active in the CMS NPPES registry since April 14, 2016.
## Identity
- **NPI:** 1164876280 (Entity type: Individual)
- **Enumerated:** April 14, 2016
- **Primary specialty:** Dentist - Pediatric Dentistry · taxonomy 1223P0221X
- **State license:** 10153 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4420 106TH ST SW, Mukilteo, WA 98275-4700
- **Phone:** (253) 417-8274
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** University Of Kentucky (NPI 1194852582, Lexington, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1164876280) · Data from the CMS NPPES public registry.