KUYKENDALL DERMATOLOGY, PC
NPI 1588892285
Dermatology in Edmond, OK

Active since July 01, 2009
1218 E 9TH ST, EDMOND, OK 73034(405) 301-8010(888) 720-0860 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2023, Apr 2, 2023, Aug 7, 2017 and 1 more (4 updates tracked since 2016).

About Kuykendall Dermatology, Pc NPPES

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

KUYKENDALL DERMATOLOGY, PC (NPI 1588892285) is a healthcare organization registered as a dermatology in Edmond, Oklahoma and active in the NPI registry since July 2009. The organization maintains a secondary practice location in Weatherford and lists Tracy D Kuykendall, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1588892285
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameKUYKENDALL DERMATOLOGY, PC
Location Address1218 E 9TH STEdmond, OK 73034-5952
Mailing Address1218 E 9th StEdmond, OK 73034-5952 · (405) 301-8010 · Fax (888) 720-0860
Fax(888) 720-0860
Organization SubpartNo
Authorized OfficialTracy D KuykendallPhysician/owner · (405) 301-8010
Enumeration DateJuly 1, 2009
Last NPPES UpdateJuly 13, 20234 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1588892285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in OK · 23494
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1218 E 9TH ST, Edmond, OK 73034

Secondary Practice Location 1

Location 11315 N Washington StWeatherford, OK 73096-2443 · Phone (405) 301-8010 · Fax (888) 720-0860

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kuykendall Dermatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kuykendall Dermatology, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1053450957
1218 E 9TH ST
Edmond, OK 73034
(405) 301-8010
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kuykendall Dermatology, PC's NPI number?

The NPI number for Kuykendall Dermatology, PC is 1588892285. It was assigned to this organization in the NPPES registry on July 1, 2009.

Where is Kuykendall Dermatology, PC located?

Kuykendall Dermatology, PC is located at 1218 E 9th St, Edmond, OK 73034. The listed phone number is (405) 301-8010.

What is Kuykendall Dermatology, PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kuykendall Dermatology, PC enrolled in Medicare?

Yes. Kuykendall Dermatology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kuykendall Dermatology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Kuykendall Dermatology, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kuykendall Dermatology, PC was last updated on July 13, 2023. 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.