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DR. KYLE LISENBY D.M.D.
NPI 1629248414
Dentist in Columbia, MO

Active since March 07, 2008PECOS Enrolled
303 N KEENE ST, SUITE 208, COLUMBIA, MO 65201(573) 571-2222(573) 817-2888 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Kyle Lisenby D.m.d. NPPES

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

DR. KYLE LISENBY D.M.D. (NPI 1629248414) is an individual dentist in Columbia, Missouri, licensed in Missouri (2008006645 M) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629248414
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KYLE LISENBYCredential: D.M.D.
Location Address303 N KEENE ST, SUITE 208Columbia, MO 65201-6623
Mailing Address303 N Keene St, Suite 208Columbia, MO 65201-6623 · (573) 571-2222 · Fax (573) 817-2888
Phone(573) 571-2222
Fax(573) 817-2888
Sole ProprietorNo
Enumeration DateMarch 7, 2008
✔ NPI 1629248414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2008006645 M
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
303 N KEENE ST, Columbia, MO 65201
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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 Lisenby D.m.d. 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 65201 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 20

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

COLUMBIA FAMILY MEDICAL GROUP, INC
Family Medicine
303 N KEENE ST, SUITE 301
COLUMBIA, MO 65201
Boone County (573) 449-0808
CARLY ZIMMERMAN
Physical Therapist
303 N KEENE ST, STE 102
COLUMBIA, MO 65201
Boone County (573) 443-0225
DR. DAVID C. MECHLIN M.D.
Otolaryngology
303 N KEENE ST, SUITE 401
COLUMBIA, MO 65201
Boone County (573) 884-2200
PLAZA DENTAL IMPLANT & SURGICAL CENTER, LLC
Dentist
303 N KEENE ST, SUITE 209
COLUMBIA, MO 65201
Boone County (573) 817-2220
DR. GEORGE RICHARD NICHOLS M.D.
Dermatology (MOHS-Micrographic Surgery)
303 N KEENE ST, SUITE 201
COLUMBIA, MO 65201
Boone County (573) 876-1000
DR. GRACE MORRISON PHARMD
Pharmacist
303 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 447-8093
DR. SHANIA EARLY PHARMD
Pharmacist
303 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 447-8093
DR. JANICE LOUISE SEABAUGH MD
Otolaryngology
303 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 777-4680

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 Lisenby's NPI number?

The NPI number for Kyle Lisenby is 1629248414. It was assigned to this individual provider in the NPPES registry on March 7, 2008.

Where is Kyle Lisenby located?

Kyle Lisenby practices at 303 N Keene St Suite 208, Columbia, MO 65201. The listed phone number is (573) 571-2222.

What is Kyle Lisenby's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kyle Lisenby enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kyle Lisenby was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.