DR. KAI PEDERSEN DMD
NPI 1003486093
Dentist in Fort Huachuca, AZ

Active since June 30, 2021
2240 WINROW RD, FORT HUACHUCA, AZ 85613(520) 533-9200(520) 533-5246 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, Sep 5, 2024, Jun 30, 2021 (3 updates tracked since 2021).

About Dr. Kai Pedersen Dmd NPPES

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

DR. KAI PEDERSEN DMD (NPI 1003486093) is an individual dentist in Fort Huachuca, Arizona, licensed in Arizona (D012042) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1003486093
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KAI PEDERSENCredential: DMD
Location Address2240 WINROW RDFort Huachuca, AZ 85613-5080
Mailing Address2240 Winrow RdFort Huachuca, AZ 85613-5080 · (520) 533-9200 · Fax (520) 533-5246
Fax(520) 533-5246
Sole ProprietorNo
Enumeration DateJune 30, 2021
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1003486093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AZ · D012042
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.
2240 WINROW RD, Fort Huachuca, AZ 85613

Other Identifiers 1

OtherD012042AZ · State License

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2240 WINROW RD
FORT HUACHUCA, AZ 85613
Nurse Practitioner (Psychiatric/Mental Health)
2240 WINROW RD
FORT HUACHUCA, AZ 85613
Internal Medicine
2240 WINROW RD
FORT HUACHUCA, AZ 85613
Licensed Practical Nurse
2240 WINROW RD
FORT HUACHUCA, AZ 85613
Specialist/Technologist (Athletic Trainer)
2240 WINROW RD
SIERRA VISTA, AZ 85613
Nurse Practitioner (Psychiatric/Mental Health)
2240 WINROW RD
FORT HUACHUCA, AZ 85613
Nurse Practitioner (Psychiatric/Mental Health)
2240 WINROW RD
FORT HUACHUCA, AZ 85613
Emergency Medical Technician, Basic
2240 WINROW RD
FORT HUACHUCA, AZ 85613

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 Kai Pedersen's NPI number?

The NPI number for Kai Pedersen is 1003486093. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Kai Pedersen located?

Kai Pedersen practices at 2240 Winrow Rd, Fort Huachuca, AZ 85613. The listed phone number is (520) 533-9200.

What is Kai Pedersen's specialty?

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

What insurance does Kai Pedersen accept?

Health plans from Guardian and Humana list Kai Pedersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kai Pedersen was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.