1. Home
  2. Directory
  3. Michigan
  4. Ann Arbor
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KAYLA PATRICIA KOLODYCHAK DMD
NPI 1780474254
Dentist in Ann Arbor, MI

Active since May 08, 2025PECOS Enrolled
1500 E MEDICAL CENTER DR SPC 5346, ANN ARBOR, MI 48109(734) 936-8289 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kayla Patricia Kolodychak Dmd NPPES

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

DR. KAYLA PATRICIA KOLODYCHAK DMD (NPI 1780474254) is an individual dentist in Ann Arbor, Michigan, licensed in Tennessee (13107) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1780474254
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KAYLA PATRICIA KOLODYCHAKCredential: DMD
Location Address1500 E MEDICAL CENTER DR SPC 5346Ann Arbor, MI 48109-5346
Mailing Address551 Lord RdFairview, PA 16415-1525 · (814) 969-6576
Phone(734) 936-8289
Sole ProprietorNo
Enumeration DateMay 8, 2025
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1780474254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TN · 13107
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 1780474254 (MI)
1500 E MEDICAL CENTER DR SPC 5346, Ann Arbor, MI 48109
Open in Google Maps ↗

Secondary Practice Location 1

Location 1113 Harbor Town Sq Ste 203Memphis, TN 38103-8890 · Phone (901) 453-6081

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. Kayla Patricia Kolodychak Dmd 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 48109 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

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

DR. TYLER MICHAEL BAUER MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5346
ANN ARBOR, MI 48109
Washtenaw County (734) 232-4765

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 Kayla Kolodychak's NPI number?

The NPI number for Kayla Kolodychak is 1780474254. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Kayla Kolodychak located?

Kayla Kolodychak practices at 1500 E Medical Center Dr Spc 5346, Ann Arbor, MI 48109. The listed phone number is (734) 936-8289.

What is Kayla Kolodychak's specialty?

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

Is Kayla Kolodychak enrolled in Medicare?

Yes. Kayla Kolodychak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kayla Kolodychak was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.