P Praxis·MD
● Active Type 1 · Individual

DR. Kyle D Jepsen, DMD

Dentist·Dallas, TX· NPI 1972624880 · Enumerated 2007 · 19 years on NPI
Jepsen is 1 of 1092 dentist providers in Dallas and 1 of 15661 in Texas.
NPI age
19 years
Enumerated 2007-04-02
Primary specialty
Dentist
Plus 3 subspecialties
Licensed in
TX, NC, CO
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-02-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 15661 active dentist providers in Texas.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
3 states
Top 94% — 5% of peers are multi-state
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
208 N Market St, 322
Dallas, TX 752023206
📞 2147574500fax 2147574501
Mailing address
13525 Sprucewood Dr
Dallas, TX 752403630
📞 2146296153

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
680 Mitchell Way
Erie, CO 805165450
📞 7292743635
Location 3
582 Kannapolis Pkwy
Kannapolis, NC 28027
📞 7042735020

Specialties

  • Dentist Primary
    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.
    TX license #22833NC license #13569CO license #DEN.00205860 taxonomy 1223G0001X
  • Dentist
    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...
    TX license #22833 taxonomy 122300000X

Identifiers

TypeValueNotes
05 (TX) 1479404-04
05 (TX) 1479404-06
05 (TX) 1804783-05
05 (TX) 1479404-01
05 (TX) 1479404-03
05 (TX) 1479404-09
05 (TX) 1479404-11
05 (TX) 1804783-02
05 (TX) 1479404-07
05 (TX) 1479404-10
05 (TX) 1479404-12
05 (TX) 1804783-03
05 (TX) 1804783-04
05 (TX) 1804783-06
05 (TX) 1479404-08
05 (TX) 1804783-07
05 (TX) 1479404-05
05 (TX) 1804783-01
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 5 new dentist providers have been added in Dallas in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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