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DR. ROGER DALE KILCOYNE DDS
NPI 1386961233
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since April 30, 2010PECOS Enrolled
364 GARLAND ST, MEMPHIS, TN 38104(901) 574-2402 Get Directions Write a Review

NPPES record last updated: May 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Roger Dale Kilcoyne Dds NPPES

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

DR. ROGER DALE KILCOYNE DDS (NPI 1386961233) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386961233
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ROGER DALE KILCOYNECredential: DDS
Location Address364 GARLAND STMemphis, TN 38104-7129
Mailing Address364 Garland StMemphis, TN 38104-7129 · (901) 574-2402
Phone(901) 574-2402
Sole ProprietorYes
Enumeration DateApril 30, 2010
Last NPPES UpdateMay 3, 2010
✔ NPI 1386961233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 10159 (CO)
364 GARLAND ST, Memphis, TN 38104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roger Dale Kilcoyne Dds 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.

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 Roger Kilcoyne's NPI number?

The NPI number for Roger Kilcoyne is 1386961233. It was assigned to this individual provider in the NPPES registry on April 30, 2010.

Where is Roger Kilcoyne located?

Roger Kilcoyne practices at 364 Garland St, Memphis, TN 38104. The listed phone number is (901) 574-2402.

What is Roger Kilcoyne's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Roger Kilcoyne enrolled in Medicare?

Yes. Roger Kilcoyne is registered in the Medicare PECOS enrollment system.

What insurance does Roger Kilcoyne accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Roger Kilcoyne 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 Roger Kilcoyne was last updated on May 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.