1. Home
  2. Directory
  3. Colorado
  4. Parker
  5. Dentist
  6. NPI Profile

KENNETH M. DIXEY D.D.S
NPI 1104892066
Dentist - General Practice in Parker, CO

Active since February 28, 2006Opted out of Medicare · through Sep 21, 2027
17167 CEDAR GULCH PKWY, SUITE 102, PARKER, CO 80134(303) 841-5313(303) 841-5557 Get Directions Write a Review

NPPES record last updated: December 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth M. Dixey D.d.s NPPES

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

KENNETH M. DIXEY D.D.S (NPI 1104892066) is an individual general practice provider in Parker, Colorado, licensed in Colorado (104866) and active in the NPI registry since February 2006. He has opted out of Medicare through September 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104892066
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENNETH M. DIXEYCredential: D.D.S
Location Address17167 CEDAR GULCH PKWY, SUITE 102Parker, CO 80134-4411
Mailing Address17167 Cedar Gulch Pkwy, Suite 102Parker, CO 80134-4411 · (303) 841-5313 · Fax (303) 841-5557
Phone(303) 841-5313
Fax(303) 841-5557
Sole ProprietorYes
Enumeration DateFebruary 28, 2006
Last NPPES UpdateDecember 10, 2012
✔ NPI 1104892066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · 104866
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.
17167 CEDAR GULCH PKWY, Parker, CO 80134
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kenneth M. Dixey 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 September 21, 2015 through September 21, 2027.

Opt-Out Effective DateSeptember 21, 2015
Opt-Out In Effect ThroughSeptember 21, 2027Opt-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 80134 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 4

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

JEAN K DEMBOWSKI RDH
Dental Hygienist
17167 CEDAR GULCH PKWY, 102
PARKER, CO 80134
Douglas County (303) 814-5313
MS. ANGELA S EVANSON DDS
Dentist
17167 CEDAR GULCH PKWY, 202
PARKER, CO 80134
Douglas County (303) 805-9999
DR. MANISHA PATIL DMD
Dentist (General Practice)
17167 CEDAR GULCH PKWY
PARKER, CO 80134
Douglas County (303) 805-0099
DR. ROBERT FRANKLIN UTBERG D.M.D.
Dentist
17167 CEDAR GULCH PKWY, SUITE 102
PARKER, CO 80134
Douglas County (303) 841-5313

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 Dixey's NPI number?

The NPI number for Kenneth Dixey is 1104892066. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Kenneth Dixey located?

Kenneth Dixey practices at 17167 Cedar Gulch Pkwy Suite 102, Parker, CO 80134. The listed phone number is (303) 841-5313.

What is Kenneth Dixey's specialty?

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

Is Kenneth Dixey enrolled in Medicare?

No. Kenneth Dixey has opted out of Medicare through September 21, 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 Kenneth Dixey was last updated on December 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.