Kyle Tidstrom, D.D.S.
NPI 1659343119 · Oral and Maxillofacial Surgery (Dentist) · Edina, MN
Enrolled with Medicare as Practitioner - Maxillofacial Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kyle Tidstrom, D.D.S. is a Oral and Maxillofacial Surgery (Dentist) provider in Edina, MN (NPI 1659343119).
Provider details
- NPI number
- 1659343119
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- D10340 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
20 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$25 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-07
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kyle Tidstrom's NPI number?
- Kyle Tidstrom's National Provider Identifier (NPI) is 1659343119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kyle Tidstrom's specialty?
- Kyle Tidstrom is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Kyle Tidstrom located?
- Kyle Tidstrom's practice location on file with NPPES is 7373 France Ave S, Edina, MN 55435-4534.
- What is Kyle Tidstrom's phone number?
- The practice phone number listed in the NPPES registry for Kyle Tidstrom is (952) 835-5003.
- Does Kyle Tidstrom accept Medicare?
- Kyle Tidstrom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kyle Tidstrom's NPI active?
- Yes — Kyle Tidstrom's NPI (1659343119) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.