KEITH KANEGAWA DMD
NPI 1043227119
Dentist - General Practice in Lodi, CA
About Keith Kanegawa Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH KANEGAWA DMD (NPI 1043227119) is an individual general practice provider in Lodi, California, licensed in California (29318) and active in the NPI registry since August 2006. He has opted out of Medicare through October 31, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Keith Kanegawa Dmd 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 31, 2015 through October 31, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LODI, CA 95240
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 Keith Kanegawa's NPI number?
The NPI number for Keith Kanegawa is 1043227119. It was assigned to this individual provider in the NPPES registry on August 2, 2006.
Where is Keith Kanegawa located?
Keith Kanegawa practices at 600 S Fairmont Ave, Lodi, CA 95240. The listed phone number is (209) 369-3114.
What is Keith Kanegawa's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Keith Kanegawa enrolled in Medicare?
No. Keith Kanegawa has opted out of Medicare through October 31, 2027. 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 Keith Kanegawa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Keith Kanegawa, DMD · NPI 1043227119
General Practice provider in Lodi, California. Individual provider, active in the CMS NPPES registry since August 2, 2006.
## Identity
- **NPI:** 1043227119 (Entity type: Individual)
- **Enumerated:** August 2, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 29318 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 S FAIRMONT AVE, Lodi, CA 95240-3835
- **Phone:** (209) 369-3114
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 31, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1043227119) · Data from the CMS NPPES public registry.