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DR. KYLE M SHULL DDS
NPI 1982993267
Dentist in Columbia, MO

Active since April 07, 2011PECOS Enrolled
2601 RANGE LINE ST STE 111, COLUMBIA, MO 65202(573) 355-5870(573) 355-5887 Get Directions Write a Review

NPPES record last updated: October 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kyle M Shull Dds NPPES

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

DR. KYLE M SHULL DDS (NPI 1982993267) is an individual dentist in Columbia, Missouri, licensed in Missouri (2011016320) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jefferson City.

NPPES Registry Identity

NPI1982993267
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KYLE M SHULLCredential: DDS
Location Address2601 RANGE LINE ST STE 111Columbia, MO 65202
Mailing Address2601 Range Line St Ste 111Columbia, MO 65202-1618 · (573) 355-5870 · Fax (573) 355-5887
Phone(573) 355-5870
Fax(573) 355-5887
Sole ProprietorNo
Enumeration DateApril 7, 2011
Last NPPES UpdateOctober 4, 2019
✔ NPI 1982993267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2011016320
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.
2601 RANGE LINE ST STE 111, Columbia, MO 65202
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Secondary Practice Location 1

Location 13400 W Truman BlvdJefferson City, MO 65109-5712 · Phone (573) 632-2777

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 M Shull Dds 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 65202 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 2

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

DR. NICHOLAS JAY HARL DDS
Dentist
2601 RANGE LINE ST STE 111
COLUMBIA, MO 65202
Boone County (573) 355-5870
ERIN MAE GOODE
Dentist
2601 RANGE LINE ST STE 111
COLUMBIA, MO 65202
Boone County (573) 355-5870

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 Shull's NPI number?

The NPI number for Kyle Shull is 1982993267. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Kyle Shull located?

Kyle Shull practices at 2601 Range Line St Ste 111, Columbia, MO 65202. The listed phone number is (573) 355-5870.

What is Kyle Shull's specialty?

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

Is Kyle Shull enrolled in Medicare?

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

What insurance does Kyle Shull accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Dominion National and Guardian and 5 other insurers list Kyle Shull 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 Shull was last updated on October 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.