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KYLE SAMPLES
NPI 1407146764
Dentist in Sedalia, MO

Active since April 07, 2011PECOS Enrolled
821 WESTWOOD DR, SEDALIA, MO 65301(660) 826-4774(660) 826-1300 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Samples NPPES

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

KYLE SAMPLES (NPI 1407146764) is an individual dentist in Sedalia, Missouri, licensed in Missouri (2011015414) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407146764
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKYLE SAMPLES
Location Address821 WESTWOOD DRSedalia, MO 65301-2102
Mailing Address1411a N Jefferson StCarrollton, MO 64633-1945 · (660) 542-6066 · Fax (660) 646-3887
Phone(660) 826-4774
Fax(660) 826-1300
Sole ProprietorNo
Enumeration DateApril 7, 2011
Last NPPES UpdateJuly 28, 2016
✔ NPI 1407146764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2011015414
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
821 WESTWOOD DR, Sedalia, MO 65301
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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)

Kyle Samples 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 65301 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 20

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

JASON KINGSOLVER
Dentist
821 WESTWOOD DR
SEDALIA, MO 65301
Pettis County (660) 826-4774
REBECCA GUNN-CHRONISTER LPC
Counselor (Professional)
821 WESTWOOD DR
SEDALIA, MO 65301
Pettis County (660) 826-4774
NICOLE RENEE MEDLEY D.D.S.
Dentist (General Practice)
821 WESTWOOD DR
SEDALIA, MO 65301
Pettis County (660) 826-4774
BLAIRE RILEY LCSW
Social Worker (Clinical)
821 WESTWOOD DR
SEDALIA, MO 65301
Pettis County (660) 826-4774
DR. JUSTIN ROBERT CRAMER M.D.
Family Medicine
821 WESTWOOD DR
SEDALIA, MO 65301
Pettis County (660) 826-4774
LAUREN MADELEINE JONIAK RDH
Dental Hygienist
821 WESTWOOD DR
SEDALIA, MO 65301
Pettis County (660) 826-4774
BRAEDEN MATHUR DDS
Dentist
821 WESTWOOD DR
SEDALIA, MO 65301
Pettis County (660) 826-4774
JENNIFER GAMBER NP-C
Nurse Practitioner (Family)
821 WESTWOOD DR
SEDALIA, MO 65301
Pettis County (660) 826-4774

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 Samples's NPI number?

The NPI number for Kyle Samples is 1407146764. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Kyle Samples located?

Kyle Samples practices at 821 Westwood Dr, Sedalia, MO 65301. The listed phone number is (660) 826-4774.

What is Kyle Samples's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kyle Samples enrolled in Medicare?

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

What insurance does Kyle Samples 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 10 other insurers list Kyle Samples 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 Samples was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.