KYLE DOWNUM DDS
NPI 1851775852
Dentist in Miami, OK
NPI Status: Active since July 20, 2015
- Individual
- Male
- Dentist
- Accepts Insurance
- PECOS Enrolled
About KYLE DOWNUM
This page provides the complete NPI Profile along with additional information for Kyle Downum, a provider established in Miami, Oklahoma with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1851775852 assigned on July 2015. The practitioner's primary taxonomy code is 122300000X with license number 6735 (OK). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1851775852
- Provider Name
- KYLE DOWNUM DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7600 S HIGHWAY 69A MIAMI, OK 74354
- Location Phone
- (918) 332-4389
- Mailing Address
- 7600 S HIGHWAY 69A MIAMI, OK 74354
- Mailing Phone
- (918) 332-4389
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-20-2015
- Last Update Date
- 07-20-2015
- Code Navigator
A dentist like Kyle Downum is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- 6735
- License State
- OK
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Guardian Essentials for Families and Individuals - PPO
- Guardian Preventive Plus for Families and Individuals - PPO
- Guardian Select for Families and Individuals - PPO
- Guaridan Basics for Families and Individuals - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- TruAssure Basic Adult or Child Dental Plan - PPO
- TruAssure Preferred Adult or Child Dental Plan - PPO
- TruAssure Preventive Dental Plan - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kyle Downum is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 74354 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.46
- Minimum New Patient Price $53
- Maximum New Patient Price $162.61
- Average New Patient Copayment $20.61
- Minimum New Patient Copayment $13.25
- Maximum New Patient Copayment $40.65
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.48
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $132.4
- Average Established Patient Copayment $16.62
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.1
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 5 | 1 | 7 | 7 | 5 | 8 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 10 | 1 | 14 | 7 | 10 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 0 + 1 + 1 + 4 + 7 + 1 + 0 + 8 + 1 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1851775852 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750373494 | TOMMY DARRELL FOREMAN D.O. Individual | Family Medicine | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 542-1655 |
| 1417984352 | SUZANNE T MALLATT NP Individual | Nurse Practitioner | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 542-1655 |
| 1639267065 | NORTHEASTERN TRIBAL HEALTH SYSTEM Organization | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 542-1655 |
| 1619025913 | KARA D NORTH PNP Individual | Nurse Practitioner (Pediatrics) | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 542-1655 |
| 1699898429 | CAMERON C SCOTT O.D. Individual | Optometrist | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 332-4312 |
| 1790967768 | JOYCE E PAYNE LPC Individual | Counselor (Mental Health) | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 332-4393 |
| 1205073350 | KIMBERLEE ANN CHUCULATE Individual | Respiratory Therapist, Registered (General Care) | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 542-1655 |
| 1124340880 | CHANNA LEE MORTON REGISTERED DIETICIAN Individual | Dietitian, Registered | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 542-1655 |
| 1730401407 | CARRIE ANN CLARK PHARM-D Individual | Pharmacist | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 542-1655 |
| 1023442357 | TONYA LYNN OLSEN RN Individual | Registered Nurse | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 542-1655 |
| 1497132690 | KRISTEN MARIE WOODRUFF R.D. Individual | Dietitian, Registered | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 332-4365 |
| 1386826113 | CAROL ANN DEMOND ARNP Individual | Nurse Practitioner (Family) | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 542-1655 |
| 1659811297 | JORDAN DOUTHIT L.D. Individual | Dietitian, Registered | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 542-1655 |
| 1477030138 | SONYA CARPER RDH Individual | Dental Hygienist | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 542-1655 |
| 1265919872 | JESSICA ROSS DENTAL HYGIENIST Individual | Dental Hygienist | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 542-1655 |
| 1538648746 | JODY FORD RN Individual | Registered Nurse (Community Health) | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 542-1655 |
| 1063510642 | MRS. KARA JEAN KINSEY P.T. Individual | Physical Therapist | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 332-4398 |
| 1760076459 | SAMANTHA HOPE CAWYER PTA Individual | Physical Therapy Assistant | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 332-4398 |
| 1659155620 | SCOTTI BRETT FREEMAN OD Individual | Optometrist | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 542-1655 |
| 1871522532 | NORTHEASTERN TRIBAL HEALTH SYSTEM Organization | Clinic/Center | 7600 S HIGHWAY 69A MIAMI, OK 74354 (918) 542-1655 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851775852, enumerated in the NPI registry as an "individual" on July 20, 2015
The provider is located at 7600 S Highway 69a Miami, Ok 74354 and the phone number is (918) 332-4389
The provider's speciality is Dentist with taxonomy code 122300000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $82.46 with an average copayment of $20.61 for new patient appointments. Established patients should expect a typical charge of $66.48 and an average copayment of 16.62. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 20, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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