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DR. KEVIN BRENT DORSEY DDS
NPI 1376556597
Dentist - Oral and Maxillofacial Surgery in Huntington Park, CA

Active since August 15, 2006Opted out of Medicare · through Oct 4, 2026
3512 E FLORENCE AVE, HUNTINGTON PARK, CA 90255(323) 589-6765(323) 589-4154 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kevin Brent Dorsey Dds NPPES

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

DR. KEVIN BRENT DORSEY DDS (NPI 1376556597) is an individual oral and maxillofacial surgery provider in Huntington Park, California, licensed in California (37976) and active in the NPI registry since August 2006. He has opted out of Medicare through October 4, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1376556597
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. KEVIN BRENT DORSEYCredential: DDS
Location Address3512 E FLORENCE AVEHuntington Park, CA 90255-5900
Mailing Address3512 E. Florence Ave.Huntington Park, CA 90255 · (310) 378-6249
Phone(323) 589-6765
Fax(323) 589-4154
Sole ProprietorYes
Enumeration DateAugust 15, 2006
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1376556597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 37976
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3512 E FLORENCE AVE, Huntington Park, CA 90255
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kevin Brent Dorsey Dds 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 October 4, 2022 through October 4, 2026.

Opt-Out Effective DateOctober 4, 2022
Opt-Out In Effect ThroughOctober 4, 2026Opt-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 90255 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

DR, ANTHONY TORRES AND DR. KEVIN DORSEY
Dentist (Oral and Maxillofacial Surgery)
3512 E FLORENCE AVE, SUITE 204
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 589-6765
DR. EDGAR I MARTINEZ D.O.
General Practice
3512 E FLORENCE AVE, SUITE 102
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 582-1180
EDGAR I MARTINEZ DO INC
General Practice
3512 E FLORENCE AVE, SUITE 102
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 582-1180

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 Kevin Dorsey's NPI number?

The NPI number for Kevin Dorsey is 1376556597. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Kevin Dorsey located?

Kevin Dorsey practices at 3512 E Florence Ave, Huntington Park, CA 90255. The listed phone number is (323) 589-6765.

What is Kevin Dorsey's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kevin Dorsey enrolled in Medicare?

No. Kevin Dorsey has opted out of Medicare through October 4, 2026. 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.

What insurance does Kevin Dorsey 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 Kevin Dorsey 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 Kevin Dorsey was last updated on October 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.