KANDON BENNETT
NPI 1609765098
Physician Assistant - Surgical in Dumas, TX

Active since June 30, 2025PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: November 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kandon Bennett NPPES

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

KANDON BENNETT (NPI 1609765098) is an individual surgical provider in Dumas, Texas, licensed in Texas (PA19602) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1609765098
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKANDON BENNETT
Location Address224 E 2ND STDumas, TX 79029-3808
Mailing AddressPo Box 405Henrietta, TX 76365-0405 · (940) 631-2796
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 30, 2025
Last NPPES UpdateNovember 2, 2025
NPPES CertifiedNovember 2, 2025
NPI 1609765098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TX · PA19602
224 E 2ND ST, Dumas, TX 79029

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kandon Bennett is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749772085
PECOS Enrollment IDI20251124002418
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital

Critical Access Hospitals · Dumas, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451386
Location224 E Second StreetDumas, TX 79029 · Moore County
Emergency services

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
224 E 2ND ST
DUMAS, TX 79029
Occupational Therapist
224 E 2ND ST
DUMAS, TX 79029
Physical Therapy Assistant
224 E 2ND ST
DUMAS, TX 79029
Family Medicine
224 E 2ND ST
DUMAS, TX 79029
Physical Therapist
224 E 2ND ST
DUMAS, TX 79029
Dietitian, Registered
224 E 2ND ST
DUMAS, TX 79029
Speech-Language Pathologist
224 E 2ND ST
DUMAS, TX 79029
Physical Therapy Assistant
224 E 2ND ST
DUMAS, TX 79029

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 Kandon Bennett's NPI number?

The NPI number for Kandon Bennett is 1609765098. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Kandon Bennett located?

Kandon Bennett practices at 224 E 2nd St, Dumas, TX 79029. The listed phone number is (806) 935-7171.

What is Kandon Bennett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kandon Bennett enrolled in Medicare?

Yes. Kandon Bennett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kandon Bennett affiliated with any hospitals?

According to CMS data, Kandon Bennett is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kandon Bennett was last updated on November 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.