DR. KENNETH G MIZE DMDPC
NPI 1255338638
Dentist - General Practice in Sheridan, OR
About Dr. Kenneth G Mize Dmdpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH G MIZE DMDPC (NPI 1255338638) is an individual general practice provider in Sheridan, Oregon, licensed in Oregon (D5811) and active in the NPI registry since June 2005. He has opted out of Medicare through July 16, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
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.
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 G Mize Dmdpc 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 July 16, 2015 through July 16, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97378 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mize's NPI number?
The NPI number for Kenneth Mize is 1255338638. It was assigned to this individual provider in the NPPES registry on June 30, 2005.
Where is Kenneth Mize located?
Kenneth Mize practices at 411 W Main St, Sheridan, OR 97378. The listed phone number is (503) 843-4433.
What is Kenneth Mize's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kenneth Mize enrolled in Medicare?
No. Kenneth Mize has opted out of Medicare through July 16, 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 Mize was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.
