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KYLE JAKOB THORSRUD DDS
NPI 1558602797
Dentist - Oral and Maxillofacial Surgery in Brownstown Twp, MI

Active since March 13, 2013PECOS Enrolled
19249 ALLEN RD, BROWNSTOWN TWP, MI 48183(734) 479-2990(734) 479-2991 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyle Jakob Thorsrud Dds NPPES

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

KYLE JAKOB THORSRUD DDS (NPI 1558602797) is an individual oral and maxillofacial surgery provider in Brownstown Twp, Michigan, licensed in Michigan (2901020250) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558602797
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameKYLE JAKOB THORSRUDCredential: DDS
Location Address19249 ALLEN RDBrownstown Twp, MI 48183-1189
Mailing Address19249 Allen RdBrownstown Twp, MI 48183-1189 · (734) 479-2990 · Fax (734) 479-2991
Phone(734) 479-2990
Fax(734) 479-2991
Sole ProprietorNo
Enumeration DateMarch 13, 2013
Last NPPES UpdateJune 1, 2026
NPPES CertifiedJune 1, 2026
✔ NPI 1558602797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 2901020250
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
19249 ALLEN RD, Brownstown Twp, MI 48183
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 Jakob Thorsrud 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48183 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 3

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

DR. BENJAMIN LAWRENCE HANSON DDS
Dentist (General Practice)
19249 ALLEN RD
BROWNSTOWN TWP, MI 48183
Wayne County (734) 615-8606
DR. PAUL S HO DDS
Dentist (Oral and Maxillofacial Surgery)
19249 ALLEN RD
BROWNSTOWN TWP, MI 48183
Wayne County (734) 479-2990
SOUTH SHORE OMS PC
Clinic/Center (Oral and Maxillofacial Surgery)
19249 ALLEN RD
BROWNSTOWN TWP, MI 48183
Wayne County (734) 479-2990

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 Thorsrud's NPI number?

The NPI number for Kyle Thorsrud is 1558602797. It was assigned to this individual provider in the NPPES registry on March 13, 2013.

Where is Kyle Thorsrud located?

Kyle Thorsrud practices at 19249 Allen Rd, Brownstown Twp, MI 48183. The listed phone number is (734) 479-2990.

What is Kyle Thorsrud's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kyle Thorsrud enrolled in Medicare?

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

What insurance does Kyle Thorsrud accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Michigan and Florida Combined Life and 3 other insurers list Kyle Thorsrud 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 Thorsrud was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.