1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Dentist
  6. NPI Profile

DR. KYLE ANDREW MALLOY D.M.D.; M.S.
NPI 1457791592
Dentist - Periodontics in Portland, OR

Active since July 03, 2013PECOS Enrolled
8931 SE FOSTER RD, PORTLAND, OR 97266(855) 433-6825 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2018, Jan 18, 2017, Sep 15, 2016 (3 updates tracked since 2016).

About Dr. Kyle Andrew Malloy D.m.d.; M.s. NPPES

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

DR. KYLE ANDREW MALLOY D.M.D.; M.S. (NPI 1457791592) is an individual periodontics provider in Portland, Oregon, licensed in California (100865) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1457791592
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. KYLE ANDREW MALLOYCredential: D.M.D.; M.S.
Location Address8931 SE FOSTER RDPortland, OR 97266-4661
Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (855) 433-6825
Phone(855) 433-6825
Sole ProprietorNo
Enumeration DateJuly 3, 2013
Last NPPES UpdateOctober 24, 20183 updates tracked since enumeration
✔ NPI 1457791592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 100865
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
8931 SE FOSTER RD, Portland, OR 97266
Open in Google Maps ↗

Secondary Practice Location 1

Location 1405 SE 133rd AvePortland, OR 97233-1809 · Phone (855) 433-6825

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. Kyle Andrew Malloy D.m.d.; M.s. 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 97266 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 18

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

MS. THAO MINHPHOUNG CHU D.D.S.
Dentist (General Practice)
8931 SE FOSTER RD
PORTLAND, OR 97266
Multnomah County (855) 433-6825
DR. BLAINE E. MOWREY D.M.D., M.S.
Dentist (Endodontics)
8931 SE FOSTER RD
PORTLAND, OR 97266
Multnomah County (855) 433-6825
DR. KOICHI SAITO D.M.D.
Dentist (Endodontics)
8931 SE FOSTER RD
PORTLAND, OR 97266
Multnomah County (855) 433-6825
JENNIFER ROSALES D.M.D.
Dentist
8931 SE FOSTER RD
PORTLAND, OR 97266
Multnomah County (855) 433-6825
DR. TU ANH NGUYEN DDS
Dentist
8931 SE FOSTER RD
PORTLAND, OR 97266
Multnomah County (855) 433-6825
DR. RAJIV RAMCHANDRA PAONASKAR D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
8931 SE FOSTER RD
PORTLAND, OR 97266
Multnomah County (855) 433-6825
EMILY REBECCA GOFF DMD
Dentist
8931 SE FOSTER RD
PORTLAND, OR 97266
Multnomah County (855) 433-6825
BAHAR TAJDAR DMD
Dentist (General Practice)
8931 SE FOSTER RD
PORTLAND, OR 97266
Multnomah County (855) 433-6825

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 Malloy's NPI number?

The NPI number for Kyle Malloy is 1457791592. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Where is Kyle Malloy located?

Kyle Malloy practices at 8931 SE Foster Rd, Portland, OR 97266. The listed phone number is (855) 433-6825.

What is Kyle Malloy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Kyle Malloy enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kyle Malloy was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.