Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KYLE JOSEPH SHIFFLER DDS, MD
NPI 1306200985
Oral & Maxillofacial Surgery in Phoenix, AZ

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment
1441 N 12TH ST, PHOENIX, AZ 85006(602) 521-5150 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 13, 2026, Jul 2, 2025, May 24, 2023 (3 updates tracked since 2023).

About Dr. Kyle Joseph Shiffler Dds, Md NPPES

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

DR. KYLE JOSEPH SHIFFLER DDS, MD (NPI 1306200985) is an individual oral & maxillofacial surgery provider in Phoenix, Arizona, licensed in Arizona (76277) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306200985
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. KYLE JOSEPH SHIFFLERCredential: DDS, MD
Location Address1441 N 12TH STPhoenix, AZ 85006-2837
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837 · (602) 521-5150
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 8, 2016
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
NPI 1306200985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in AZ · 76277
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License D012387 (AZ)
1441 N 12TH ST, Phoenix, AZ 85006

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kyle Joseph Shiffler Dds, Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082081286
PECOS Enrollment IDI20250411001079
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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
1441 N 12TH ST
PHOENIX, AZ 85006
Student in an Organized Health Care Education/Training Program
1441 N 12TH ST
PHOENIX, AZ 85006
Physician Assistant
1441 N 12TH ST
PHOENIX, AZ 85006
Physician Assistant
1441 N 12TH ST
PHOENIX, AZ 85006
Obstetrics & Gynecology
1441 N 12TH ST
PHOENIX, AZ 85006
Nurse Practitioner (Family)
1441 N 12TH ST
PHOENIX, AZ 85006
Surgery
1441 N 12TH ST
PHOENIX, AZ 85006
Internal Medicine (Hematology & Oncology)
1441 N 12TH ST
PHOENIX, AZ 85006

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 Shiffler's NPI number?

The NPI number for Kyle Shiffler is 1306200985. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Kyle Shiffler located?

Kyle Shiffler practices at 1441 N 12th St, Phoenix, AZ 85006. The listed phone number is (602) 521-5150.

What is Kyle Shiffler's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Kyle Shiffler enrolled in Medicare?

Yes. Kyle Shiffler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kyle Shiffler accept?

Health plans from Ambetter from Arizona Complete Health, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 15 other insurers list Kyle Shiffler 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 Shiffler was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.