DR. KYLE RAYMOND KWON DEXTER PHD
NPI 1447725809
Psychologist in Fairbanks, AK
About Dr. Kyle Raymond Kwon Dexter Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYLE RAYMOND KWON DEXTER PHD (NPI 1447725809) is an individual psychologist in Fairbanks, Alaska, licensed in Alaska (164185) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
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 Raymond Kwon Dexter Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kyle Dexter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairbanks, AK 99701
- Reassigned Medicare billing, Texas enrollment
- 207 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.
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.
FAIRBANKS, AK 99701
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 Dexter's NPI number?
The NPI number for Kyle Dexter is 1447725809. It was assigned to this individual provider in the NPPES registry on October 11, 2018.
Where is Kyle Dexter located?
Kyle Dexter practices at 122 1st Ave Ste 400, Fairbanks, AK 99701. The listed phone number is (907) 452-8251.
What is Kyle Dexter's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Kyle Dexter enrolled in Medicare?
Yes. Kyle Dexter is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kyle Dexter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Dexter reassigns Medicare benefits to Tanana Chiefs Conference (Fairbanks, AK). 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 Dexter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kyle Dexter was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.