DR. KIM LAWRENCE BROKAW D.D.S,
NPI 1285787846
Dentist in Dixon, IL

Active since January 18, 2007PECOS Enrolled
123 N HENNEPIN AVE, DIXON, IL 61021(815) 284-6807 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kim Lawrence Brokaw D.d.s, NPPES

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

DR. KIM LAWRENCE BROKAW D.D.S, (NPI 1285787846) is an individual dentist in Dixon, Illinois and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285787846
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KIM LAWRENCE BROKAWCredential: D.D.S,
Location Address123 N HENNEPIN AVEDixon, IL 61021-2010
Mailing Address123 N Hennepin AveDixon, IL 61021-2010 · (815) 284-6807
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1285787846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.

123 N HENNEPIN AVE, Dixon, IL 61021

Accepted Insurance

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. Kim Lawrence Brokaw 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 61021 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 2

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

Dentist (General Practice)
123 N HENNEPIN AVE
DIXON, IL 61021
Dentist
123 N HENNEPIN AVE
DIXON, IL 61021

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 Kim Brokaw's NPI number?

The NPI number for Kim Brokaw is 1285787846. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Kim Brokaw located?

Kim Brokaw practices at 123 N Hennepin Ave, Dixon, IL 61021. The listed phone number is (815) 284-6807.

What is Kim Brokaw's specialty?

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

Is Kim Brokaw enrolled in Medicare?

Yes. Kim Brokaw is registered in the Medicare PECOS enrollment system.

What insurance does Kim Brokaw 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, Humana and Renaissance Dental list Kim Brokaw 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 Kim Brokaw was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.