KYLE M PETT DMD
NPI 1790346013
Dentist in Grants Pass, OR

Q: What is Kyle Pett's NPI number?

The NPI number for Kyle Pett is 1790346013. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Q: What is Kyle Pett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kyle Pett was last updated on January 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 26, 2019PECOS Enrolled

1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526(541) 479-6393(541) 479-6489 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2023, Jan 24, 2020 (2 updates tracked since 2020).

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About Kyle M Pett Dmd NPPES

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

KYLE M PETT DMD (NPI 1790346013) is an individual dentist in Grants Pass, Oregon, licensed in Oregon (D11083) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Medford.

NPPES Registry Identity

NPI1790346013

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameKYLE M PETTCredential: DMD

Location Address1701 NW HAWTHORNE AVEGrants Pass, OR 97526-1051

Mailing Address1701 Nw Hawthorne AveGrants Pass, OR 97526-1051 · (541) 479-6393 · Fax (541) 479-6489

Phone(541) 479-6393

Fax(541) 479-6489

Sole ProprietorNo

Enumeration DateJune 26, 2019

Last NPPES UpdateJanuary 26, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2023

✔ NPI 1790346013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D11083

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.

1701 NW HAWTHORNE AVE, Grants Pass, OR 97526

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Secondary Practice Location 1

Location 11113 Progress DrMedford, OR 97504-5201 · Phone (541) 512-3900 · Fax (541) 414-1175

Other Identifiers 1

Medicaid500764913OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Kyle M Pett 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 97526 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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.

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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.

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