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KRISTY DHALIWAL D.D.S.
NPI 1295902401
Dentist - General Practice in Boulder, CO

Active since May 15, 2008Opted out of Medicare · through Apr 25, 2027
1001 NORTH ST, BOULDER, CO 80304(303) 447-1042 Get Directions Write a Review

NPPES record last updated: March 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristy Dhaliwal D.d.s. NPPES

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

KRISTY DHALIWAL D.D.S. (NPI 1295902401) is an individual general practice provider in Boulder, Colorado, licensed in Colorado (8183) and active in the NPI registry since May 2008. She has opted out of Medicare through April 25, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1295902401
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKRISTY DHALIWALCredential: D.D.S.
Location Address1001 NORTH STBoulder, CO 80304-3308
Mailing Address166 S Cedar Brook RdBoulder, CO 80304-0468 · (303) 473-0541
Phone(303) 447-1042
Sole ProprietorNo
Enumeration DateMay 15, 2008
Last NPPES UpdateMarch 9, 2017
✔ NPI 1295902401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · 8183
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.
1001 NORTH ST, Boulder, CO 80304
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kristy Dhaliwal 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 April 25, 2017 through April 25, 2027.

Opt-Out Effective DateApril 25, 2017
Opt-Out In Effect ThroughApril 25, 2027Opt-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 80304 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.

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 Kristy Dhaliwal's NPI number?

The NPI number for Kristy Dhaliwal is 1295902401. It was assigned to this individual provider in the NPPES registry on May 15, 2008.

Where is Kristy Dhaliwal located?

Kristy Dhaliwal practices at 1001 North St, Boulder, CO 80304. The listed phone number is (303) 447-1042.

What is Kristy Dhaliwal's specialty?

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

Is Kristy Dhaliwal enrolled in Medicare?

No. Kristy Dhaliwal has opted out of Medicare through April 25, 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 Kristy Dhaliwal was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.