DR. KENNETH ALAN YAROS DDS
NPI 1487788139
Dentist - General Practice in San Diego, CA

Active since March 15, 2007Opted out of Medicare · through May 1, 2028
2180 GARNET AVE, SUITE 1-K, SAN DIEGO, CA 92109(858) 270-4904(858) 270-4275 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Alan Yaros Dds NPPES

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

DR. KENNETH ALAN YAROS DDS (NPI 1487788139) is an individual general practice provider in San Diego, California, licensed in California (35361) and active in the NPI registry since March 2007. He has opted out of Medicare through May 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487788139
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENNETH ALAN YAROSCredential: DDS
Location Address2180 GARNET AVE, SUITE 1-KSan Diego, CA 92109-3610
Mailing Address1001 Cerro Verde DrSolana Beach, CA 92075-1714 · (858) 792-0669 · Fax (858) 792-8326
Fax(858) 270-4275
Sole ProprietorYes
Enumeration DateMarch 15, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1487788139 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 · 35361
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.
2180 GARNET AVE, San Diego, CA 92109

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. Kenneth Alan Yaros 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 May 1, 2016 through May 1, 2028.

Opt-Out Effective DateMay 1, 2016
Opt-Out In Effect ThroughMay 1, 2028Opt-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 92109 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 8

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

Acupuncturist
2180 GARNET AVE, SUITE 1I
SAN DIEGO, CA 92109
Massage Therapist
2180 GARNET AVE
SAN DIEGO, CA 92109
Specialist
2180 GARNET AVE, SUITE 1I
SAN DIEGO, CA 92109
Massage Therapist
2180 GARNET AVE
SAN DIEGO, CA 92109
Chiropractor
2180 GARNET AVE, STE 3D
SAN DIEGO, CA 92109
Massage Therapist
2180 GARNET AVE, SUITE 3L
SAN DIEGO, CA 92109
Neuromusculoskeletal Medicine & OMM
2180 GARNET AVE, 1-I
SAN DIEGO, CA 92109
Dentist
2180 GARNET AVE, SUITE 1-K
SAN DIEGO, CA 92109

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 Yaros's NPI number?

The NPI number for Kenneth Yaros is 1487788139. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Kenneth Yaros located?

Kenneth Yaros practices at 2180 Garnet Ave Suite 1-K, San Diego, CA 92109. The listed phone number is (858) 270-4904.

What is Kenneth Yaros's specialty?

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

Is Kenneth Yaros enrolled in Medicare?

No. Kenneth Yaros has opted out of Medicare through May 1, 2028. 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.

When was this NPI record last updated?

The NPPES record for Kenneth Yaros 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.