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DR. KYLE NICHOLAS MAYER DDS
NPI 1619661360
Dentist - General Practice in Roseville, MI

Active since June 06, 2023PECOS Enrolled
25631 GRATIOT AVE, ROSEVILLE, MI 48066(586) 775-3312 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Kyle Nicholas Mayer Dds NPPES

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

DR. KYLE NICHOLAS MAYER DDS (NPI 1619661360) is an individual general practice provider in Roseville, Michigan, licensed in Michigan (2901601677) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1619661360
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KYLE NICHOLAS MAYERCredential: DDS
Location Address25631 GRATIOT AVERoseville, MI 48066-4434
Mailing Address3369 Harvard RdRoyal Oak, MI 48073-6610 · (810) 922-7258
Phone(586) 775-3312
Sole ProprietorYes
Enumeration DateJune 6, 2023
NPPES CertifiedJune 6, 2023
✔ NPI 1619661360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901601677
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
25631 GRATIOT AVE, Roseville, MI 48066
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Secondary Practice Location 1

Location 142180 Ford Rd Ste 310Canton, MI 48187-3673 · Phone (734) 981-1199

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Nicholas Mayer 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.

Medicare Billing Reassignment

Medicare enrollment records show Kyle Mayer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

All About Sleep LLC
28 mi
General Practice
42180 FORD RD, #301
Canton, MI 48187
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1265853261 (734) 981-1199

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48066 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 8

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

INTEGRATED HEALTH CHOICES ROSEVILLE PC
Dentist
25631 GRATIOT AVE
ROSEVILLE, MI 48066
Macomb County (586) 775-3312
INTEGRATED HEALTH CHOICES ROSEVILLE P.C.
Clinic/Center (Dental)
25631 GRATIOT AVE
ROSEVILLE, MI 48066
Macomb County (586) 775-3312
ALL ABOUT SMILES ROSEVILLE DOCS P.C.
Dentist
25631 GRATIOT AVE
ROSEVILLE, MI 48066
Macomb County (586) 775-3312
ALL ABOUT SMILES ROSEVILLE P.C
Dentist (Dental Public Health)
25631 GRATIOT AVE
ROSEVILLE, MI 48066
Macomb County (586) 775-3312
SABINA KURTOVIC STOLARCZYK DDS
Dentist (General Practice)
25631 GRATIOT AVE
ROSEVILLE, MI 48066
Macomb County (586) 354-1280
AURIC PROFESSIONAL SERVICES PLLC
Dentist (General Practice)
25631 GRATIOT AVE
ROSEVILLE, MI 48066
Macomb County (586) 775-3312
PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC
Dentist
25631 GRATIOT AVE
ROSEVILLE, MI 48066
Macomb County (586) 775-3312
ALL ABOUT SMILES ROSEVILLE DOCS P.C.
Clinic/Center (Dental)
25631 GRATIOT AVE
ROSEVILLE, MI 48066
Macomb County (586) 775-3312

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 Mayer's NPI number?

The NPI number for Kyle Mayer is 1619661360. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Kyle Mayer located?

Kyle Mayer practices at 25631 Gratiot Ave, Roseville, MI 48066. The listed phone number is (586) 775-3312.

What is Kyle Mayer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kyle Mayer enrolled in Medicare?

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

Which organization bills Medicare for Kyle Mayer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Mayer reassigns Medicare benefits to All About Sleep LLC (Canton, MI). 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 Mayer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Mayer accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Kyle Mayer 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 Mayer was last updated on June 6, 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.