DAKOTA LAWTON MCKENZIE DDS
NPI 1265001333
Dentist - Oral and Maxillofacial Surgery in Philadelphia, PA

Q: What is Dakota Mckenzie's NPI number?

The NPI number for Dakota Mckenzie is 1265001333. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Q: What is Dakota Mckenzie's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Dakota Mckenzie was last updated on June 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2021PECOS Enrolled

909 WALNUT ST RM 300, PHILADELPHIA, PA 19107(215) 503-6215(215) 923-9189 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dakota Lawton Mckenzie Dds NPPES

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

DAKOTA LAWTON MCKENZIE DDS (NPI 1265001333) is an individual oral and maxillofacial surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (AA0003050688) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265001333

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDAKOTA LAWTON MCKENZIECredential: DDS

Location Address909 WALNUT ST RM 300Philadelphia, PA 19107-5211

Mailing Address909 Walnut St Rm 300Philadelphia, PA 19107-5211 · (215) 503-7118 · Fax (215) 923-9189

Phone(215) 503-6215

Fax(215) 923-9189

Sole ProprietorNo

Enumeration DateJune 22, 2021

NPPES CertifiedJune 22, 2021

✔ NPI 1265001333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in PA · AA0003050688

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

909 WALNUT ST RM 300, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dakota Lawton Mckenzie Dds 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 19107 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

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