DR. KENNETH OWEN CROSBY II D.D.S
NPI 1245293869
Dentist - General Practice in Fresno, CA

Active since April 07, 2006Opted out of Medicare · through Apr 20, 2027
6079 N FRESNO ST, STE 105, FRESNO, CA 93710(559) 222-7001(559) 222-7087 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth Owen Crosby Ii D.d.s NPPES

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

DR. KENNETH OWEN CROSBY II D.D.S (NPI 1245293869) is an individual general practice provider in Fresno, California, licensed in California (33447) and active in the NPI registry since April 2006. He has opted out of Medicare through April 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245293869
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENNETH OWEN CROSBY IICredential: D.D.S
Location Address6079 N FRESNO ST, STE 105Fresno, CA 93710-5276
Mailing Address6079 N Fresno St, Ste 105Fresno, CA 93710-5276 · (559) 222-7001 · Fax (559) 222-7087
Fax(559) 222-7087
Sole ProprietorYes
Enumeration DateApril 7, 2006
Last NPPES UpdateJune 20, 2008
NPI 1245293869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 33447
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.

Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 33447 (CA)
6079 N FRESNO ST, Fresno, CA 93710

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 Owen Crosby Ii 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 April 20, 2017 through April 20, 2027.

Opt-Out Effective DateApril 20, 2017
Opt-Out In Effect ThroughApril 20, 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 93710 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Nurse Practitioner (Family)
6079 N FRESNO ST, SUITE 101
FRESNO, CA 93710

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 Crosby's NPI number?

The NPI number for Kenneth Crosby is 1245293869. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Kenneth Crosby located?

Kenneth Crosby practices at 6079 N Fresno St Ste 105, Fresno, CA 93710. The listed phone number is (559) 222-7001.

What is Kenneth Crosby's specialty?

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

Is Kenneth Crosby enrolled in Medicare?

No. Kenneth Crosby has opted out of Medicare through April 20, 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 Crosby was last updated on June 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.