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DR. KYLE T REYNOLDS D.D.S.
NPI 1699061473
Dentist - Pediatric Dentistry in Lubbock, TX

Active since June 21, 2011PECOS Enrolled
809 N FRANKFORD AVE, LUBBOCK, TX 79416(806) 796-2408(806) 686-6246 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2025, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Kyle T Reynolds D.d.s. NPPES

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

DR. KYLE T REYNOLDS D.D.S. (NPI 1699061473) is an individual pediatric dentistry provider in Lubbock, Texas, licensed in Texas (35767) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1699061473
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KYLE T REYNOLDSCredential: D.D.S.
Location Address809 N FRANKFORD AVELubbock, TX 79416-1568
Mailing Address809 N Frankford AveLubbock, TX 79416-1568 · (806) 796-2408 · Fax (806) 686-6246
Phone(806) 796-2408
Fax(806) 686-6246
Sole ProprietorNo
Enumeration DateJune 21, 2011
Last NPPES UpdateSeptember 9, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1699061473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in TX · 35767✔ Licensed in CO · DEN.00203233
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Secondary Practice Location 1

Location 17815 Quaker AveLubbock, TX 79424-3363 · Phone (806) 796-2408 · Fax (806) 686-6246

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.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 T Reynolds D.d.s. 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 Reynolds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Denver Health And Hospital Authority
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group
NPI 1477569838 (303) 436-6000

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 79416 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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

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

BRITTNEY SHIPLEY RN, BSN, IBCLC
Registered Nurse (Lactation Consultant)
809 N FRANKFORD AVE
LUBBOCK, TX 79416
Lubbock County (806) 796-2408

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 Reynolds's NPI number?

The NPI number for Kyle Reynolds is 1699061473. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Kyle Reynolds located?

Kyle Reynolds practices at 809 N Frankford Ave, Lubbock, TX 79416. The listed phone number is (806) 796-2408.

What is Kyle Reynolds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Kyle Reynolds enrolled in Medicare?

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

Which organization bills Medicare for Kyle Reynolds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Reynolds reassigns Medicare benefits to Denver Health And Hospital Authority (Denver, CO). 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 Reynolds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Reynolds accept?

Health plans from Guardian list Kyle Reynolds 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 Reynolds was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.