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DOUGLAS MCKENDRY D.D.S.
NPI 1285028092
Dentist in Kayenta, AZ

Active since March 19, 2015PECOS Enrolled
US HIGHWAY 160, S OF MP 394.3, KAYENTA, AZ 86033(928) 697-4178 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2022, Jan 4, 2019 (2 updates tracked since 2019).

About Douglas Mckendry D.d.s. NPPES

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

DOUGLAS MCKENDRY D.D.S. (NPI 1285028092) is an individual dentist in Kayenta, Arizona, licensed in California (3944) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285028092
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDOUGLAS MCKENDRYCredential: D.D.S.
Location AddressUS HIGHWAY 160, S OF MP 394.3Kayenta, AZ 86033
Mailing Address12033 Agency RdParker, AZ 85344-7718 · (928) 697-4337
Phone(928) 697-4178
Sole ProprietorNo
Enumeration DateMarch 19, 2015
Last NPPES UpdateApril 12, 20222 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1285028092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 3944
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.
US HIGHWAY 160, S OF MP 394.3, Kayenta, AZ 86033
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Mckendry 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Douglas Mckendry reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dhhs Ihs Phoenix
140 mi
Clinic/Center
1 MAIN ST
Supai, AZ 86435
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dhhs Ihs Phoenix Area
  • 210 clinicians in this Medicare group
NPI 1184901829 (928) 448-2641
Irene Benn Medical Center
244 mi
Clinic/Center
10 LINCOLN ST
Moapa, NV 89025
  • Reassigned Medicare billing, Texas enrollment
  • 143 clinicians in this Medicare group
NPI 1841535317 (775) 784-5327
Dhhs Ihs Phoenix Area
278 mi
Public Health, Federal
1970 PALO VERDE
Havasu Lake, CA 92363
  • Reassigned Medicare billing, Texas enrollment
  • 208 clinicians in this Medicare group
NPI 1396022026 (760) 858-4790

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86033 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 Douglas Mckendry's NPI number?

The NPI number for Douglas Mckendry is 1285028092. It was assigned to this individual provider in the NPPES registry on March 19, 2015.

Where is Douglas Mckendry located?

Douglas Mckendry practices at Us Highway 160, S Of Mp 394.3, Kayenta, AZ 86033. The listed phone number is (928) 697-4178.

What is Douglas Mckendry's specialty?

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

Is Douglas Mckendry enrolled in Medicare?

Yes. Douglas Mckendry is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Douglas Mckendry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Mckendry reassigns Medicare benefits to 3 organizations: Dhhs Ihs Phoenix (Supai, AZ), Irene Benn Medical Center (Moapa, NV) and Dhhs Ihs Phoenix Area (Havasu Lake, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Mckendry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Mckendry accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Arizona and Guardian and 2 other insurers list Douglas Mckendry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Mckendry was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.