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PATRICK T PRENDERGAST DDS
NPI 1417036757
Dentist - General Practice in Centennial, CO

Active since November 06, 2006PECOS Enrolled
6979 S HOLLY CIR, SUITE 185, CENTENNIAL, CO 80112(303) 771-0225(303) 773-3726 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Patrick T Prendergast Dds NPPES

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

PATRICK T PRENDERGAST DDS (NPI 1417036757) is an individual general practice provider in Centennial, Colorado, licensed in Colorado (105175) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417036757
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NamePATRICK T PRENDERGASTCredential: DDS
Location Address6979 S HOLLY CIR, SUITE 185Centennial, CO 80112-1065
Mailing Address6979 S Holly Cir, Suite 185Centennial, CO 80112-1065 · (303) 771-0225 · Fax (303) 773-3726
Phone(303) 771-0225
Fax(303) 773-3726
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateApril 30, 2013
✔ NPI 1417036757 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 · 105175
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.
6979 S HOLLY CIR, Centennial, CO 80112
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick T Prendergast 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80112 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 18

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

KRISTEN LYNN ROBLES P.T.
Physical Therapist
6979 S HOLLY CIR, STE 105
CENTENNIAL, CO 80112
Arapahoe County (303) 694-0400
KELSEY NICOLE MOTLEY
Counselor (Mental Health)
6979 S HOLLY CIR
CENTENNIAL, CO 80112
Arapahoe County (720) 724-4548
PFEIFER & PFEIFER PROF LLC
Dentist
6979 S HOLLY CIR, SUITE 150
CENTENNIAL, CO 80112
Arapahoe County (303) 850-7614
TANIA PAULS MD
Surgery
6979 S HOLLY CIR, SUITE 275
CENTENNIAL, CO 80112
Arapahoe County (303) 779-9633
DAVID L RODRICK DDS
Dentist (General Practice)
6979 S HOLLY CIR, SUITE 235
CENTENNIAL, CO 80112
Arapahoe County (303) 793-0793
GINA MARIE JOHANNESMAN M.P.T.
Physical Therapist
6979 S HOLLY CIR, STE 105
CENTENNIAL, CO 80112
Arapahoe County (303) 694-0400
SJ DENTAL PC
Dentist
6979 S HOLLY CIR, #225
CENTENNIAL, CO 80112
Arapahoe County (303) 779-1305
MRS. STACY VICTOR BAUMER CMT
Specialist
6979 S HOLLY CIR, SUITE 190
CENTENNIAL, CO 80112
Arapahoe County (303) 882-0496

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 Patrick Prendergast's NPI number?

The NPI number for Patrick Prendergast is 1417036757. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Patrick Prendergast located?

Patrick Prendergast practices at 6979 S Holly Cir Suite 185, Centennial, CO 80112. The listed phone number is (303) 771-0225.

What is Patrick Prendergast's specialty?

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

Is Patrick Prendergast enrolled in Medicare?

Yes. Patrick Prendergast is registered in the Medicare PECOS enrollment system.

What insurance does Patrick Prendergast accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Patrick Prendergast 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 Patrick Prendergast was last updated on April 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.