What is Kyle Pedersen's NPI number?

Kyle Pedersen's National Provider Identifier (NPI) is 1619092905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kyle Pedersen's specialty?

Kyle Pedersen is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).

Where is Kyle Pedersen located?

Kyle Pedersen's practice location on file with NPPES is 2560 Foxfield Rd, St Charles, IL 60174-5797.

What is Kyle Pedersen's phone number?

The practice phone number listed in the NPPES registry for Kyle Pedersen is (630) 587-4444.

Is Kyle Pedersen's NPI active?

Yes — Kyle Pedersen's NPI (1619092905) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Kyle Pedersen, D.D.S.

NPI 1619092905 · Pediatric Dentistry · St Charles, IL

Kyle Pedersen, D.D.S. is a Pediatric Dentistry provider in St Charles, IL (NPI 1619092905).

Provider details

NPI number: 1619092905
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221X
Dental Providers

Profile Score

Detailed profile(83/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2560 Foxfield Rd

Suite 190

St Charles, IL 60174-5797

Phone: (630) 587-4444

Street-level locationGet directions

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Mailing address