DR. KEVIN TODD JEFFERS D.D.S.
NPI 1184725830
Dentist - General Practice in Santa Rosa, CA

Q: What is Kevin Jeffers's NPI number?

The NPI number for Kevin Jeffers is 1184725830. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Kevin Jeffers's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Jeffers was last updated on July 24, 2013. 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.

Active since September 26, 2006PECOS Enrolled

3912 PRINCETON DR, SANTA ROSA, CA 95405(707) 528-6343(707) 528-0316 Get Directions Write a Review

NPPES record last updated: July 24, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kevin Todd Jeffers D.d.s. NPPES

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

DR. KEVIN TODD JEFFERS D.D.S. (NPI 1184725830) is an individual general practice provider in Santa Rosa, California, licensed in California (51942) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184725830

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KEVIN TODD JEFFERSCredential: D.D.S.

Location Address3912 PRINCETON DRSanta Rosa, CA 95405-7014

Mailing Address3829 Moss Hollow CtSanta Rosa, CA 95404-1567 · (707) 542-1942 · Fax (707) 528-0316

Phone(707) 528-6343

Fax(707) 528-0316

Sole ProprietorYes

Enumeration DateSeptember 26, 2006

Last NPPES UpdateJuly 24, 2013

✔ NPI 1184725830 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 · 51942

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.

3912 PRINCETON DR, Santa Rosa, CA 95405

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Todd Jeffers D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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.

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 Kevin Jeffers's NPI number?

The NPI number for Kevin Jeffers is 1184725830. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Kevin Jeffers located?

Kevin Jeffers practices at 3912 Princeton Dr, Santa Rosa, CA 95405. The listed phone number is (707) 528-6343.

What is Kevin Jeffers's specialty?

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

Is Kevin Jeffers enrolled in Medicare?

Yes. Kevin Jeffers is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Jeffers accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kevin Jeffers 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 Kevin Jeffers was last updated on July 24, 2013. 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.