KENNETH JARED LUSK D.D.S.
NPI 1437164233
Dentist - General Practice in Farmington, NM

Active since July 30, 2006PECOS Enrolled
204 N AUBURN AVE, FARMINGTON, NM 87401(505) 325-8401(505) 325-8705 Get Directions Write a Review

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

About Kenneth Jared Lusk D.d.s. NPPES

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

KENNETH JARED LUSK D.D.S. (NPI 1437164233) is an individual general practice provider in Farmington, New Mexico, licensed in New Mexico (DD1834) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437164233
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENNETH JARED LUSKCredential: D.D.S.
Location Address204 N AUBURN AVEFarmington, NM 87401-8412
Mailing Address204 N Auburn AveFarmington, NM 87401-8412 · (505) 325-8401 · Fax (505) 325-8705
Fax(505) 325-8705
Sole ProprietorNo
Enumeration DateJuly 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1437164233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NM · DD1834
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.
204 N AUBURN AVE, Farmington, NM 87401

Other Names 1

Professional Name (2)K Jared Lusk D.d.s.

Other Identifiers 2

OtherNM008392NM · Bluecross Blueshield
Other891069NM · United Concordia

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 Jared Lusk 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 87401 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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

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

Dentist (General Practice)
204 N AUBURN AVE
FARMINGTON, NM 87401

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 Kenneth Lusk's NPI number?

The NPI number for Kenneth Lusk is 1437164233. It was assigned to this individual provider in the NPPES registry on July 30, 2006. The provider is also known as K Jared Lusk D.D.S..

Where is Kenneth Lusk located?

Kenneth Lusk practices at 204 N Auburn Ave, Farmington, NM 87401. The listed phone number is (505) 325-8401.

What is Kenneth Lusk's specialty?

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

Is Kenneth Lusk enrolled in Medicare?

Yes. Kenneth Lusk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Lusk 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.