KYLE KLOOSTER (MD, DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1053608752

KYLE KLOOSTER (MD, DDS) is a healthcare provider. based in Detroit, Michigan. specializing in Oral and Maxillofacial Surgery (Dentist). They hold the professional credentials MD, DDS. They hold a License No. 2901020443 (MI). The NPI Number for KYLE KLOOSTER (MD, DDS) is 1053608752

Main info

Male
Sole Proprietor
9 Years Of Experience
Name
KYLE KLOOSTER (MD, DDS)
NPI
1053608752
Phone
(313) 499-4775
Address
7633 E JEFFERSON AVE
Enumeration Date
1 July 2011
Last Update Date
29 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168445135
Graduation Year
2017 (9 years ago)
PAC ID
8628375797
Group Practice PAC ID
5193731370
Professional Enrollment ID
I20170609001273
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for KYLE KLOOSTER (MD, DDS)

  • 7633 E JEFFERSON AVE

    SUITE 70

    DETROIT, MI 482143730

    Phone: (313) 499-4775

    Fax: (313) 499-4953

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2024-06-29 • Largest payer in this snapshot: ZIMVIE INC. ($77).

Total Amount

$149

General + Research + Ownership

Payments

5

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-29

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193731370View full group profile

Reviews

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Frequently asked questions

What NPI should I save for KYLE KLOOSTER (MD, DDS)?
Save NPI 1053608752 if you need a stable reference for KYLE KLOOSTER (MD, DDS).
Is KYLE KLOOSTER (MD, DDS) currently active in the NPI registry?
CMS-published data lists KYLE KLOOSTER (MD, DDS) as an active registrant.
Does KYLE KLOOSTER (MD, DDS) list a primary specialty?
If you are matching referrals, note Oral and Maxillofacial Surgery (Dentist) for KYLE KLOOSTER (MD, DDS). Clinical services aligned with this taxonomy classification.
Where does public data place KYLE KLOOSTER (MD, DDS)?
The snapshot lists Detroit, Michigan for KYLE KLOOSTER (MD, DDS); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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