DR. KENNETH RAYMOND CARLSON D.D.S.
NPI 1336147313
Dentist - General Practice in Cortez, CO

Q: What is Kenneth Carlson's NPI number?

The NPI number for Kenneth Carlson is 1336147313. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Q: What is Kenneth Carlson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Carlson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 13, 2005PECOS Enrolled

115 N BEECH ST, CORTEZ, CO 81321(970) 565-4448(970) 565-7211 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Kenneth Raymond Carlson D.d.s. NPPES

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

DR. KENNETH RAYMOND CARLSON D.D.S. (NPI 1336147313) is an individual general practice provider in Cortez, Colorado, licensed in Colorado (HD104307CO) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336147313

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KENNETH RAYMOND CARLSONCredential: D.D.S.

Location Address115 N BEECH STCortez, CO 81321-3207

Mailing Address115 N Beech StCortez, CO 81321-3207 · (970) 565-4448 · Fax (970) 565-7211

Phone(970) 565-4448

Fax(970) 565-7211

Sole ProprietorNo

Enumeration DateJuly 13, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1336147313 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 · HD104307CO

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.

115 N BEECH ST, Cortez, CO 81321

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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)

Dr. Kenneth Raymond Carlson 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 81321 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 8

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

SCOTT ARTER

Dentist