KENNETH A FOWLER D.D.S.
NPI 1407877962
Dentist - General Practice in Loma Linda, CA

Q: What is Kenneth Fowler's NPI number?

The NPI number for Kenneth Fowler is 1407877962. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is Kenneth Fowler'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 Fowler 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 21, 2006PECOS Enrolled

11201 BENTON ST, DENTAL SERVICE, LOMA LINDA, CA 92357(909) 583-6127 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kenneth A Fowler D.d.s. NPPES

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

KENNETH A FOWLER D.D.S. (NPI 1407877962) is an individual general practice provider in Loma Linda, California, licensed in California (32459) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407877962

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKENNETH A FOWLERCredential: D.D.S.

Location Address11201 BENTON ST, DENTAL SERVICELoma Linda, CA 92357-1000

Mailing Address419 Eucalyptus DrRedlands, CA 92373-7126 · (909) 792-9799

Phone(909) 583-6127

Sole ProprietorYes

Enumeration DateJuly 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407877962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 32459

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.

11201 BENTON ST, Loma Linda, CA 92357

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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)

Kenneth A Fowler 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 92357 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 20

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

DR. ARTHUR CHUNG-LIUNG CHANG M.D.

Radiology (Diagnostic Radiology)

11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357

San Bernardino County (909) 825-7084

JUNGMI LEE LCSW

Social Worker (Clinical)