DR. DANIEL LEE KITTLESON D.D.S.
NPI 1174690465
Dentist - General Practice in Sonoma, CA

Q: What is Daniel Kittleson's NPI number?

The NPI number for Daniel Kittleson is 1174690465. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Daniel Kittleson's specialty?

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

Q: Is Daniel Kittleson enrolled in Medicare?

No. Daniel Kittleson has opted out of Medicare through February 26, 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.

Q: When was this NPI record last updated?

The NPPES record for Daniel Kittleson 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.

Active since November 29, 2006Opted out of Medicare · through Feb 26, 2027

548 3RD ST W, SONOMA, CA 95476(707) 938-3077 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Daniel Lee Kittleson D.d.s. NPPES

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

DR. DANIEL LEE KITTLESON D.D.S. (NPI 1174690465) is an individual general practice provider in Sonoma, California, licensed in California (28465) and active in the NPI registry since November 2006. He has opted out of Medicare through February 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174690465

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DANIEL LEE KITTLESONCredential: D.D.S.

Location Address548 3RD ST WSonoma, CA 95476-6502

Mailing Address548 3rd St WSonoma, CA 95476-6502

Phone(707) 938-3077

Sole ProprietorYes

Enumeration DateNovember 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174690465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 28465

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.

548 3RD ST W, Sonoma, CA 95476

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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. Daniel Lee Kittleson 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 February 26, 2017 through February 26, 2027.

Opt-Out Effective DateFebruary 26, 2017

Opt-Out In Effect ThroughFebruary 26, 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 95476 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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 2

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

NEAL PATEL DDS INC

Clinic/Center (Dental)

548 3RD ST W
SONOMA, CA 95476

Sonoma County (510) 579-7529

DR. NEAL ATUL PATEL DDS

Dentist (General Practice)

548 3RD ST W
SONOMA, CA 95476

Sonoma County (707) 938-3077

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 Daniel Kittleson's NPI number?

The NPI number for Daniel Kittleson is 1174690465. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Daniel Kittleson located?

Daniel Kittleson practices at 548 3rd St W, Sonoma, CA 95476. The listed phone number is (707) 938-3077.

What is Daniel Kittleson's specialty?

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

Is Daniel Kittleson enrolled in Medicare?

No. Daniel Kittleson has opted out of Medicare through February 26, 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 Daniel Kittleson 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.