KIMBERLY C BENTJEN DDS, MD
NPI 1144459587
Dentist - Oral and Maxillofacial Surgery in Reno, NV

Active since July 07, 2009Opted out of Medicare · through Jun 12, 2028
10455 DOUBLE R BLVD STE 101, RENO, NV 89521(775) 284-2500 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly C Bentjen Dds, Md NPPES

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

KIMBERLY C BENTJEN DDS, MD (NPI 1144459587) is an individual oral and maxillofacial surgery provider in Reno, Nevada, licensed in Nevada (S2-164C) and active in the NPI registry since July 2009. She has opted out of Medicare through June 12, 2028.

NPPES Registry Identity

NPI1144459587
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameKIMBERLY C BENTJENCredential: DDS, MD
Location Address10455 DOUBLE R BLVD STE 101Reno, NV 89521-9038
Mailing Address10455 Double R Blvd Ste 101Reno, NV 89521-9038 · (775) 284-2500
Sole ProprietorNo
Enumeration DateJuly 7, 2009
Last NPPES UpdateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
NPI 1144459587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NV · S2-164C
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
10455 DOUBLE R BLVD STE 101, Reno, NV 89521

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kimberly C Bentjen Dds, Md 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 June 12, 2020 through June 12, 2028.

Opt-Out Effective DateJune 12, 2020
Opt-Out In Effect ThroughJune 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Dentist
10455 DOUBLE R BLVD STE 101
RENO, NV 89521

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 Kimberly Bentjen's NPI number?

The NPI number for Kimberly Bentjen is 1144459587. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Where is Kimberly Bentjen located?

Kimberly Bentjen practices at 10455 Double R Blvd Ste 101, Reno, NV 89521. The listed phone number is (775) 284-2500.

What is Kimberly Bentjen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kimberly Bentjen enrolled in Medicare?

No. Kimberly Bentjen has opted out of Medicare through June 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kimberly Bentjen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Kimberly Bentjen 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 Kimberly Bentjen was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.