Kenneth M. Dixey, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104866 Issued in CO

Practice address

17167 Cedar Gulch Pkwy
Suite 102
Parker, CO 80134-4411

Phone

(303) 841-5313

Fax

(303) 841-5557

NPI assigned

Feb 28, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 21, 2015 through Sep 21, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Utberg Family Dentistry

  • Dentist
  • Parker, CO
  • NPI 1619113990
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1104892066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17167 CEDAR GULCH PKWY",
            "address_2": "SUITE 102",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344411",
            "telephone_number": "303-841-5313",
            "fax_number": "303-841-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17167 CEDAR GULCH PKWY",
            "address_2": "SUITE 102",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344411",
            "telephone_number": "303-841-5313",
            "fax_number": "303-841-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXEY",
        "first_name": "KENNETH",
        "middle_name": "M.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "104866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillon Companies LLC
• Dillon Companies LLC
• Dillon Companies LLC
• Caryn Lynn Dinkel, PT, DPT
• Divine Genesis LLC
• Benjamin McCallson Dixon, O.D.
• Laura Janine Dixon, AUD
• Dena Dobbs, M.S., R.D.
• Chelsey Camille Dobesh, APRN NP-C
• Lindy Doddridge

• General Practice Dentistry in Parker, CO
• Providers in Parker, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.