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DR. KYLE THOMAS SMITH D.D.S.,M.S.
NPI 1669688156
Dentist - Periodontics in Austin, TX

Active since May 14, 2007Opted out of Medicare · through Jul 23, 2028
7800 N MO PAC EXPY, SUITE 310, AUSTIN, TX 78759(512) 346-6097(512) 346-8135 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Kyle Thomas Smith D.d.s.,m.s. NPPES

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

DR. KYLE THOMAS SMITH D.D.S.,M.S. (NPI 1669688156) is an individual periodontics provider in Austin, Texas, licensed in Texas (20256) and active in the NPI registry since May 2007. He has opted out of Medicare through July 23, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669688156
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. KYLE THOMAS SMITHCredential: D.D.S.,M.S.
Location Address7800 N MO PAC EXPY, SUITE 310Austin, TX 78759-8900
Mailing Address7800 N. Mopac, Suite 310Austin, TX 78759 · (512) 346-6097 · Fax (512) 346-8135
Phone(512) 346-6097
Fax(512) 346-8135
Sole ProprietorNo
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669688156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TX · 20256
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
7800 N MO PAC EXPY, Austin, TX 78759
Open in Google Maps ↗

Other Identifiers 1

Other1720195498TX · Corporation

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kyle Thomas Smith D.d.s.,m.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 23, 2018 through July 23, 2028.

Opt-Out Effective DateJuly 23, 2018
Opt-Out In Effect ThroughJuly 23, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78759 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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. RONALD C BARNETT DDS, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
7800 N MO PAC EXPY, #325
AUSTIN, TX 78759
Travis County (512) 343-0062
DR. DANIEL SHAUN O'DELL D.D.S.,M.S.
Dentist (Periodontics)
7800 N MO PAC EXPY, SUITE 310
AUSTIN, TX 78759
Travis County (512) 346-6097
DR. JULIUS W EICKENHORST D.D.S., M.S.
Dentist (Endodontics)
7800 N MO PAC EXPY, SUITE 250
AUSTIN, TX 78759
Travis County (512) 345-9737

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 Smith's NPI number?

The NPI number for Kyle Smith is 1669688156. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Kyle Smith located?

Kyle Smith practices at 7800 N Mo Pac Expy Suite 310, Austin, TX 78759. The listed phone number is (512) 346-6097.

What is Kyle Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Kyle Smith enrolled in Medicare?

No. Kyle Smith has opted out of Medicare through July 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kyle Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.