Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. KYLE D JEPSEN
Active
Individual
DR. KYLE D JEPSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22833
TX
1223G0001X
General Practice Dentistry
13569
NC
1223G0001X
General Practice Dentistry
Primary
22833
TX
1223G0001X
General Practice Dentistry
DEN.00205860
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1479404-01
—
TX
05
—
1479404-03
—
TX
05
—
1479404-04
—
TX
05
—
1479404-05
—
TX
05
—
1479404-06
—
TX
05
—
1479404-07
—
TX
05
—
1479404-08
—
TX
05
—
1479404-09
—
TX
05
—
1479404-10
—
TX
05
—
1479404-11
—
TX
05
—
1479404-12
—
TX
05
—
1804783-01
—
TX
05
—
1804783-02
—
TX
05
—
1804783-03
—
TX
05
—
1804783-04
—
TX
05
—
1804783-05
—
TX
05
—
1804783-06
—
TX
05
—
1804783-07
—
TX
Enumeration date
04/02/2007
Last updated
02/05/2024
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