Individual Healthcare Provider
Kyle Clayton Kirk, DMD, MSD
Provider's NPPES record last updated: August 11, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1164876280
- Primary Specialty
- Dentist — Pediatric Dentistry
- Practice Location
- Mukilteo, Washington
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 4:02 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Pediatric Dentistry
Dental Providers
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Taxonomy code 1223P0221X Student in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Dentist (Kentucky)
- 10153
- Student in an Organized Health Care Education/Training Program (Washington)
- DE60647135
Practice Locations
Practice Location
4420 106th St Sw
Mukilteo, Washington 98275-4700
Phone: (253) 417-8274
Additional Practice Location
2517 Sir Barton Way # 200
Lexington, Kentucky 40509
Phone: (859) 543-2456
Additional Practice Location
6222 Ne 74th St
Seattle, Washington 98115-8158
Phone: (260) 543-7906
Additional Practice Location
4420 106th St Sw
Mukilteo, Washington 98275-4700
Phone: (253) 417-8274
Record Information
- Enumeration Date
- April 14, 2016
- Provider's NPPES Record Last Updated
- August 11, 2022
- Certification Date
- August 11, 2022
- NPISignal NPPES Dataset
- August 2026
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