ETHAN E KERNS DDS
NPI 1487851473
Dentist - General Practice in Frederick, CO

Active since July 02, 2007PECOS Enrolled
5995 IRIS PARKWAY, FREDERICK, CO 80530(303) 833-2050(303) 833-9183 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan E Kerns Dds NPPES

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

ETHAN E KERNS DDS (NPI 1487851473) is an individual general practice provider in Frederick, Colorado, licensed in Colorado (DEN.00009471) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487851473
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameETHAN E KERNSCredential: DDS
Location Address5995 IRIS PARKWAYFrederick, CO 80530
Mailing Address203 S Rollie AveFort Lupton, CO 80621-1508 · (303) 286-4560 · Fax (303) 286-4589
Fax(303) 833-9183
Sole ProprietorNo
Enumeration DateJuly 2, 2007
Last NPPES UpdateJune 21, 2016
NPI 1487851473 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 · DEN.00009471
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.
5995 IRIS PARKWAY, Frederick, CO 80530

Other Identifiers 1

Medicaid85757527CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ethan E Kerns 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 80530 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 6

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

Physician Assistant (Medical)
5995 IRIS PARKWAY, BOX 189
FREDERICK, CO 80530
Dentist (General Practice)
5995 IRIS PARKWAY
FREDERICK, CO 80530
Physician Assistant
5995 IRIS PARKWAY
FREDERICK, CO 80530
Dentist
5995 IRIS PARKWAY
FREDERICK, CO 80530
Psychologist (Clinical)
5995 IRIS PARKWAY, SALUD FAMILY HEALTH CENTERS
FREDERICK, CO 80530
Dental Hygienist
5995 IRIS PARKWAY
FREDERICK, CO 80530

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 Ethan Kerns's NPI number?

The NPI number for Ethan Kerns is 1487851473. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Ethan Kerns located?

Ethan Kerns practices at 5995 Iris Parkway, Frederick, CO 80530. The listed phone number is (303) 833-2050.

What is Ethan Kerns's specialty?

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

Is Ethan Kerns enrolled in Medicare?

Yes. Ethan Kerns is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Kerns was last updated on June 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.