KYLE LOUIS BOUHANA D.D.S.
NPI 1912344847
Dentist - General Practice in Hartland, MI

Q: What is Kyle Bouhana's NPI number?

The NPI number for Kyle Bouhana is 1912344847. It was assigned to this individual provider in the NPPES registry on June 2, 2013.

Q: What is Kyle Bouhana's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Bouhana was last updated on June 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 02, 2013PECOS Enrolled

11479 HIGHLAND RD, HARTLAND, MI 48353(810) 632-9088 Get Directions Write a Review

NPPES record last updated: June 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kyle Louis Bouhana D.d.s. NPPES

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

KYLE LOUIS BOUHANA D.D.S. (NPI 1912344847) is an individual general practice provider in Hartland, Michigan, licensed in Michigan (2901020981) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912344847

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKYLE LOUIS BOUHANACredential: D.D.S.

Location Address11479 HIGHLAND RDHartland, MI 48353-2737

Mailing Address2216 Guthrie AveRoyal Oak, MI 48067-3527 · (810) 923-5674

Phone(810) 632-9088

Sole ProprietorYes

Enumeration DateJune 2, 2013

✔ NPI 1912344847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901020981

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

11479 HIGHLAND RD, Hartland, MI 48353

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.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 Louis Bouhana 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48353 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 5

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

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