DR. KENT DARRELL ARCHIBALD DDS
NPI 1013110691
Dentist - General Practice in Fredericksburg, VA

Q: What is Kent Archibald's NPI number?

The NPI number for Kent Archibald is 1013110691. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Q: What is Kent Archibald's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Kent Archibald enrolled in Medicare?

No. Kent Archibald has opted out of Medicare through October 8, 2026. 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.

Q: When was this NPI record last updated?

The NPPES record for Kent Archibald was last updated on May 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 08, 2007Opted out of Medicare · through Oct 8, 2026

910 LITTLEPAGE ST, FREDERICKSBURG, VA 22401(540) 373-5642(540) 373-5706 Get Directions Write a Review

NPPES record last updated: May 5, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Kent Darrell Archibald Dds NPPES

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

DR. KENT DARRELL ARCHIBALD DDS (NPI 1013110691) is an individual general practice provider in Fredericksburg, Virginia, licensed in Virginia (0401411801) and active in the NPI registry since June 2007. He has opted out of Medicare through October 8, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013110691

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KENT DARRELL ARCHIBALDCredential: DDS

Location Address910 LITTLEPAGE STFredericksburg, VA 22401-4700

Mailing Address910 Littlepage StFredericksburg, VA 22401-4700 · (540) 373-5642 · Fax (540) 373-5706

Phone(540) 373-5642

Fax(540) 373-5706

Sole ProprietorNo

Enumeration DateJune 8, 2007

Last NPPES UpdateMay 5, 2010

✔ NPI 1013110691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in VA · 0401411801

Definition

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.

910 LITTLEPAGE ST, Fredericksburg, VA 22401

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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. Kent Darrell Archibald Dds 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 October 8, 2014 through October 8, 2026.

Opt-Out Effective DateOctober 8, 2014

Opt-Out In Effect ThroughOctober 8, 2026Opt-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 22401 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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 Kent Archibald's NPI number?

The NPI number for Kent Archibald is 1013110691. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Kent Archibald located?

Kent Archibald practices at 910 Littlepage St, Fredericksburg, VA 22401. The listed phone number is (540) 373-5642.

What is Kent Archibald's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kent Archibald enrolled in Medicare?

No. Kent Archibald has opted out of Medicare through October 8, 2026. 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 Kent Archibald was last updated on May 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.