DR. KEN C PEDERSEN D.D.S.
NPI 1558475079
Dentist - General Practice in Kearney, NE

Q: What is Ken Pedersen's NPI number?

The NPI number for Ken Pedersen is 1558475079. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Q: What is Ken Pedersen'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 Ken Pedersen 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 August 19, 2006

111 W 31ST ST, KEARNEY, NE 68847(308) 234-2828(308) 234-1099 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Ken C Pedersen D.d.s. NPPES

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

DR. KEN C PEDERSEN D.D.S. (NPI 1558475079) is an individual general practice provider in Kearney, Nebraska, licensed in Nebraska (5459) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1558475079

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KEN C PEDERSENCredential: D.D.S.

Location Address111 W 31ST STKearney, NE 68847-2916

Mailing Address111 W 31st StKearney, NE 68847-2916 · (308) 234-2828 · Fax (308) 234-1099

Phone(308) 234-2828

Fax(308) 234-1099

Sole ProprietorYes

Enumeration DateAugust 19, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1558475079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NE · 5459

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.

111 W 31ST ST, Kearney, NE 68847

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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 Ken Pedersen's NPI number?

The NPI number for Ken Pedersen is 1558475079. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Ken Pedersen located?

Ken Pedersen practices at 111 W 31st St, Kearney, NE 68847. The listed phone number is (308) 234-2828.

What is Ken Pedersen's specialty?

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

When was this NPI record last updated?

The NPPES record for Ken Pedersen 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.