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DR. KENNETH BRIAN FROSTAD D.D.S.
NPI 1043435076
Dentist - Periodontics in Orangevale, CA

Active since April 16, 2007Opted out of Medicare · through Mar 15, 2028
8680 GREENBACK LANE SUITE 109, ORANGEVALE, CA 95662(916) 962-0545(916) 962-0927 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Brian Frostad D.d.s. NPPES

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

DR. KENNETH BRIAN FROSTAD D.D.S. (NPI 1043435076) is an individual periodontics provider in Orangevale, California, licensed in California (22882) and active in the NPI registry since April 2007. He has opted out of Medicare through March 15, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043435076
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. KENNETH BRIAN FROSTADCredential: D.D.S.
Location Address8680 GREENBACK LANE SUITE 109Orangevale, CA 95662
Mailing Address8680 Greenback Lane Suite 109Orangevale, CA 95662 · (916) 962-0545 · Fax (916) 962-0927
Phone(916) 962-0545
Fax(916) 962-0927
Sole ProprietorNo
Enumeration DateApril 16, 2007
Last NPPES UpdateMarch 7, 2025
✔ NPI 1043435076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 22882
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
8680 GREENBACK LANE SUITE 109, Orangevale, CA 95662
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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. Kenneth Brian Frostad 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 March 15, 2018 through March 15, 2028.

Opt-Out Effective DateMarch 15, 2018
Opt-Out In Effect ThroughMarch 15, 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 95662 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

Other Providers at the Same Location NPPES

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

SIERRA PERIODONTAL GROUP
Dentist (Periodontics)
8680 GREENBACK LANE SUITE 109
ORANGEVALE, CA 95662
Sacramento County (916) 962-0545

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 Kenneth Frostad's NPI number?

The NPI number for Kenneth Frostad is 1043435076. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Kenneth Frostad located?

Kenneth Frostad practices at 8680 Greenback Lane Suite 109, Orangevale, CA 95662. The listed phone number is (916) 962-0545.

What is Kenneth Frostad's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Kenneth Frostad enrolled in Medicare?

No. Kenneth Frostad has opted out of Medicare through March 15, 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 Kenneth Frostad was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.