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DR. LORENZO KIDD NEILSEN D.D.S.
NPI 1003266966
Dentist in Lees Summit, MO

Active since June 21, 2016Opted out of Medicare · through Jan 24, 2028
2033 SW STERLING DR, LEES SUMMIT, MO 64081(801) 891-2043(913) 451-2959 Get Directions Write a Review

NPPES record last updated: August 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lorenzo Kidd Neilsen D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LORENZO KIDD NEILSEN D.D.S. (NPI 1003266966) is an individual dentist in Lees Summit, Missouri, licensed in Kansas (61219) and active in the NPI registry since June 2016. He has opted out of Medicare through January 24, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003266966
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. LORENZO KIDD NEILSENCredential: D.D.S.
Location Address2033 SW STERLING DRLees Summit, MO 64081-4040
Mailing Address2033 Sw Sterling DrLees Summit, MO 64081-4040 · (801) 891-2043 · Fax (913) 451-2959
Phone(801) 891-2043
Fax(913) 451-2959
Sole ProprietorNo
Enumeration DateJune 21, 2016
Last NPPES UpdateAugust 7, 2016
✔ NPI 1003266966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in KS · 61219✔ Licensed in MO · 2016018480
Definition
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.
2033 SW STERLING DR, Lees Summit, MO 64081
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lorenzo Kidd Neilsen D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 24, 2018 through January 24, 2028.

Opt-Out Effective DateJanuary 24, 2018
Opt-Out In Effect ThroughJanuary 24, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lorenzo Neilsen's NPI number?

The NPI number for Lorenzo Neilsen is 1003266966. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Lorenzo Neilsen located?

Lorenzo Neilsen practices at 2033 SW Sterling Dr, Lees Summit, MO 64081. The listed phone number is (801) 891-2043.

What is Lorenzo Neilsen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Lorenzo Neilsen enrolled in Medicare?

No. Lorenzo Neilsen has opted out of Medicare through January 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lorenzo Neilsen was last updated on August 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.