Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1780605659 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth Lyle , DDS

Dentist - General Practice • Manhattan, KS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Lyle has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 23, 2006
NPI Deactivation Date November 15, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Lyle, DDS was a registered Dentist - General Practice practicing in Manhattan, KS. Throughout an active medical career spanning 11 years, Dr. Lyle provided care at the practice location at 1133 COLLEGE AVE until profile deactivation on 2017-11-15.

Practice Location & Contact Primary Location

Practice Address

1133 College Ave
Ste A103

Manhattan, KS 665022770

Telephone 7855390804
Fax 7855879810
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Manhattan, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
30 Specialists

Practicing in Manhattan, KS (1140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KS 4697

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Randy Davis , DDS

Dentist - General Practice

NPI 1134143050

Doctor of Dental Surgery

NPI 1972897676

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 15, 2017

Record deactivated on November 15, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1133 COLLEGE AVE, STE A103, MANHATTAN, KS 665022770 (Tel: 7855390804)

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Updated Business Mailing Address July 08, 2007

Registered at 1133 COLLEGE AVE, STE A103, MANHATTAN, KS 665022770 (Tel: 7855390804)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH LYLE, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #4697 in KS)

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Initial NPI Registration & Enumeration July 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780605659
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2006
Last Update: July 08, 2007
Deactivation Date: November 15, 2017

Mailing Address

1133 College Ave, Ste A103

Manhattan, KS 665022770

Phone: 7855390804

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.