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DR. KYLE DOUGLASS POULSEN D.D.S.
NPI 1982071379
Dentist - General Practice in Menifee, CA

Active since September 01, 2015PECOS Enrolled
29121 NEWPORT RD STE 101, MENIFEE, CA 92584(951) 228-9296 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kyle Douglass Poulsen D.d.s. NPPES

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

DR. KYLE DOUGLASS POULSEN D.D.S. (NPI 1982071379) is an individual general practice provider in Menifee, California, licensed in California (64955) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Winchester.

NPPES Registry Identity

NPI1982071379
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KYLE DOUGLASS POULSENCredential: D.D.S.
Location Address29121 NEWPORT RD STE 101Menifee, CA 92584-5121
Mailing Address29121 Newport Rd Ste 101Menifee, CA 92584-5121 · (951) 228-9296
Phone(951) 228-9296
Sole ProprietorNo
Enumeration DateSeptember 1, 2015
Last NPPES UpdateJune 20, 2024
NPPES CertifiedJune 11, 2024
✔ NPI 1982071379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 64955
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.
29121 NEWPORT RD STE 101, Menifee, CA 92584
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Secondary Practice Location 1

Location 132891 Western Hills Dr Ste 103winchester, CA 92596 · Phone (951) 335-5169

Accepted Insurance

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

Dr. Kyle Douglass Poulsen 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 92584 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 4

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

CHRISTOPHER WALTERS DDS
Dentist (General Practice)
29121 NEWPORT RD STE 101
MENIFEE, CA 92584
Riverside County (951) 228-9296
GHAZI HAMATI
Dentist (General Practice)
29121 NEWPORT RD STE 101
MENIFEE, CA 92584
Riverside County (951) 228-9296
OWEN RUSSELL CRUZ DDS
Dentist
29121 NEWPORT RD STE 101
MENIFEE, CA 92584
Riverside County (951) 228-9296
DR. PARUL AHUJA DMD
Dentist
29121 NEWPORT RD STE 101
MENIFEE, CA 92584
Riverside County (951) 228-9296

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 Poulsen's NPI number?

The NPI number for Kyle Poulsen is 1982071379. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is Kyle Poulsen located?

Kyle Poulsen practices at 29121 Newport Rd Ste 101, Menifee, CA 92584. The listed phone number is (951) 228-9296.

What is Kyle Poulsen's specialty?

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

Is Kyle Poulsen enrolled in Medicare?

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

What insurance does Kyle Poulsen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Kyle Poulsen 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 Poulsen was last updated on June 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.