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DR. KATHLEEN POOLE DDS
NPI 1356733992
Dentist in Phoenix, AZ

Active since February 18, 2015PECOS Enrolled
6524 W INDIAN SCHOOL RD STE A, PHOENIX, AZ 85033(623) 428-2400(623) 777-4120 Get Directions Write a Review

NPPES record last updated: July 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2019, Aug 24, 2018, Jan 27, 2016 (3 updates tracked since 2016).

About Dr. Kathleen Poole Dds NPPES

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

DR. KATHLEEN POOLE DDS (NPI 1356733992) is an individual dentist in Phoenix, Arizona, licensed in Arizona (10115) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356733992
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KATHLEEN POOLECredential: DDS
Location Address6524 W INDIAN SCHOOL RD STE APhoenix, AZ 85033-3329
Mailing AddressPo Box 358Crownpoint, NM 87313-0358 · (505) 786-6283
Phone(623) 428-2400
Fax(623) 777-4120
Sole ProprietorYes
Enumeration DateFebruary 18, 2015
Last NPPES UpdateJuly 27, 20193 updates tracked since enumeration
✔ NPI 1356733992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · 10115
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.
6524 W INDIAN SCHOOL RD STE A, Phoenix, AZ 85033
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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)

Dr. Kathleen Poole 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.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Poole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Navajo Health Foundation-Sage Memorial Hospital, Inc.
214 mi
Rural
ARIZONA HIGHWAY 191
Ganado, AZ 86505
  • Reassigned Medicare billing, Arizona enrollment
  • 204 clinicians in this Medicare group
NPI 1477735777 (928) 755-4500

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 85033 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.

Other Providers at the Same Location NPPES 3

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

PAULA M HERNANDEZ DNP, FNP-C
Nurse Practitioner (Family)
6524 W INDIAN SCHOOL RD STE A
PHOENIX, AZ 85033
Maricopa County (602) 892-0799
NUBIA LOMELI DNP, FNP-C
Nurse Practitioner (Family)
6524 W INDIAN SCHOOL RD STE A
PHOENIX, AZ 85033
Maricopa County (602) 892-0799
CLINICA REVIVE SALUD PLLC
Clinic/Center (Primary Care)
6524 W INDIAN SCHOOL RD STE A
PHOENIX, AZ 85033
Maricopa County (602) 892-0799

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 Kathleen Poole's NPI number?

The NPI number for Kathleen Poole is 1356733992. It was assigned to this individual provider in the NPPES registry on February 18, 2015.

Where is Kathleen Poole located?

Kathleen Poole practices at 6524 W Indian School Rd Ste A, Phoenix, AZ 85033. The listed phone number is (623) 428-2400.

What is Kathleen Poole's specialty?

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

Is Kathleen Poole enrolled in Medicare?

Yes. Kathleen Poole is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Poole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Poole reassigns Medicare benefits to Navajo Health Foundation-Sage Memorial Hospital, Inc. (Ganado, AZ). The 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 Kathleen Poole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Poole accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Kathleen Poole 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 Kathleen Poole was last updated on July 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.