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: August 02, 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
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

Secondary Practice Location 1

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

Accepted 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)

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.

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.

Dentist
25631 GRATIOT AVE
ROSEVILLE, MI 48066
Clinic/Center (Dental)
25631 GRATIOT AVE
ROSEVILLE, MI 48066
Dentist
25631 GRATIOT AVE
ROSEVILLE, MI 48066
Dentist (Dental Public Health)
25631 GRATIOT AVE
ROSEVILLE, MI 48066
Dentist (General Practice)
25631 GRATIOT AVE
ROSEVILLE, MI 48066
Dentist (General Practice)
25631 GRATIOT AVE
ROSEVILLE, MI 48066
Dentist
25631 GRATIOT AVE
ROSEVILLE, MI 48066
Clinic/Center (Dental)
25631 GRATIOT AVE
ROSEVILLE, MI 48066

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.

What insurance does Kyle Mayer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 13 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.