DR. KENNETH ANTHONY BOLIN D.D.S.
NPI 1255334140
Dentist in Dallas, TX

Q: What is Kenneth Bolin's NPI number?

The NPI number for Kenneth Bolin is 1255334140. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Q: What is Kenneth Bolin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Bolin was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 24, 2005PECOS Enrolled

14335 REGENCY PL, DALLAS, TX 75254(972) 716-9787(972) 716-9787 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kenneth Anthony Bolin D.d.s. NPPES

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

DR. KENNETH ANTHONY BOLIN D.D.S. (NPI 1255334140) is an individual dentist in Dallas, Texas, licensed in Texas (12794) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255334140

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KENNETH ANTHONY BOLINCredential: D.D.S.

Location Address14335 REGENCY PLDallas, TX 75254-8509

Mailing Address14335 Regency PlDallas, TX 75254-8509 · (972) 716-9787 · Fax (972) 716-9787

Phone(972) 716-9787

Fax(972) 716-9787

Sole ProprietorYes

Enumeration DateMay 24, 2005

Last NPPES UpdateAugust 12, 2014

✔ NPI 1255334140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 12794

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

14335 REGENCY PL, Dallas, TX 75254

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Other Identifiers 1

Medicaid1267114-02TX

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. Kenneth Anthony Bolin 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 75254 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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 Kenneth Bolin's NPI number?

The NPI number for Kenneth Bolin is 1255334140. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Kenneth Bolin located?

Kenneth Bolin practices at 14335 Regency Pl, Dallas, TX 75254. The listed phone number is (972) 716-9787.

What is Kenneth Bolin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kenneth Bolin enrolled in Medicare?

Yes. Kenneth Bolin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Bolin was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.