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KYLE KITASOE
NPI 1184251092
Dentist - General Practice in Menlo Park, CA

Active since March 23, 2020PECOS Enrolled
825 OAK GROVE AVE STE C501, MENLO PARK, CA 94025(650) 323-5211 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2021, Mar 23, 2020 (2 updates tracked since 2020).

About Kyle Kitasoe NPPES

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

KYLE KITASOE (NPI 1184251092) is an individual general practice provider in Menlo Park, California, licensed in California (106703) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184251092
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKYLE KITASOE
Location Address825 OAK GROVE AVE STE C501Menlo Park, CA 94025-4427
Mailing Address825 Oak Grove Ave Ste C501Menlo Park, CA 94025-4427 · (650) 323-5211
Phone(650) 323-5211
Sole ProprietorYes
Enumeration DateMarch 23, 2020
Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1184251092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 106703
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
825 OAK GROVE AVE STE C501, Menlo Park, CA 94025
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Kitasoe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94025 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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

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

DR. GEORGE GERSON MICHAELS DDS
Dentist (General Practice)
825 OAK GROVE AVE STE C501
MENLO PARK, CA 94025
San Mateo County (650) 323-5211

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 Kitasoe's NPI number?

The NPI number for Kyle Kitasoe is 1184251092. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Kyle Kitasoe located?

Kyle Kitasoe practices at 825 Oak Grove Ave Ste C501, Menlo Park, CA 94025. The listed phone number is (650) 323-5211.

What is Kyle Kitasoe's specialty?

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

Is Kyle Kitasoe enrolled in Medicare?

Yes. Kyle Kitasoe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Kitasoe was last updated on August 24, 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.