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DR. KINGDON KIBBLE BRADY D.D.S.
NPI 1255393765
Dentist - General Practice in Fort Collins, CO

Active since April 03, 2006Opted out of Medicare · through Feb 4, 2028
2627 REDWING RD, SUITE 300, FORT COLLINS, CO 80526(970) 484-0250(970) 484-1522 Get Directions Write a Review

NPPES record last updated: January 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kingdon Kibble Brady D.d.s. NPPES

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

DR. KINGDON KIBBLE BRADY D.D.S. (NPI 1255393765) is an individual general practice provider in Fort Collins, Colorado, licensed in Indiana (12010038A) and active in the NPI registry since April 2006. He has opted out of Medicare through February 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255393765
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KINGDON KIBBLE BRADYCredential: D.D.S.
Location Address2627 REDWING RD, SUITE 300Fort Collins, CO 80526-6321
Mailing Address2627 Redwing Rd, Suite 300Fort Collins, CO 80526-6321 · (970) 484-0250 · Fax (970) 484-1522
Phone(970) 484-0250
Fax(970) 484-1522
Sole ProprietorYes
Enumeration DateApril 3, 2006
Last NPPES UpdateJanuary 4, 2016
✔ NPI 1255393765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12010038A
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.
2627 REDWING RD, Fort Collins, CO 80526
Open in Google Maps ↗

Other Identifiers 1

Medicaid200231810IN

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. Kingdon Kibble Brady 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 4, 2016 through February 4, 2028.

Opt-Out Effective DateFebruary 4, 2016
Opt-Out In Effect ThroughFebruary 4, 2028Opt-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 80526 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 12

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

TYLER G WOODY LICENSED PROFESSIONA
Counselor (Professional)
2627 REDWING RD, SUITE 120
FORT COLLINS, CO 80526
Larimer County (970) 658-1007
SARAH HIGGINS LPC, NCC
Counselor (Professional)
2627 REDWING RD, SUITE 225
FORT COLLINS, CO 80526
Larimer County (970) 231-2681
MS. VICKIE L BOHLENDER
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2627 REDWING RD, SUITE 220A
FORT COLLINS, CO 80526
Larimer County (970) 613-1755
CRANIOFACIAL PAIN AND SLEEP CENTER
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2627 REDWING RD, SUITE 300
FORT COLLINS, CO 80526
Larimer County (970) 484-0250
MITCHELL J MAYO
Technician/Technologist (Ocularist)
2627 REDWING RD, STE 210
FORT COLLINS, CO 80526
Larimer County (970) 204-6860
RACHEL HARGROVE LMT
Massage Therapist
2627 REDWING RD, SUITE 350
FORT COLLINS, CO 80526
Larimer County (970) 673-0892
DR. JUSTIN W THOLE D.C.
Chiropractor
2627 REDWING RD, SUITE 235
FORT COLLINS, CO 80526
Larimer County (970) 377-1810
SHAWN STOOKSBURY LPCC
Counselor
2627 REDWING RD
FORT COLLINS, CO 80526
Larimer County (970) 413-2264

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 Kingdon Brady's NPI number?

The NPI number for Kingdon Brady is 1255393765. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Kingdon Brady located?

Kingdon Brady practices at 2627 Redwing Rd Suite 300, Fort Collins, CO 80526. The listed phone number is (970) 484-0250.

What is Kingdon Brady's specialty?

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

Is Kingdon Brady enrolled in Medicare?

No. Kingdon Brady has opted out of Medicare through February 4, 2028. 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 Kingdon Brady was last updated on January 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.