DR. KIMBERLY CENTENO D.D.S.
NPI 1609971811
Dentist in Mount Shasta, CA

Q: What is Kimberly Centeno's NPI number?

The NPI number for Kimberly Centeno is 1609971811. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Q: What is Kimberly Centeno's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Centeno was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 13, 2006PECOS Enrolled

407 PINE ST, MOUNT SHASTA, CA 96067(530) 918-9055(530) 918-9059 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kimberly Centeno D.d.s. NPPES

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

DR. KIMBERLY CENTENO D.D.S. (NPI 1609971811) is an individual dentist in Mount Shasta, California, licensed in California (52457) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609971811

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. KIMBERLY CENTENOCredential: D.D.S.

Location Address407 PINE STMount Shasta, CA 96067

Mailing Address407 Pine StMount Shasta, CA 96067 · (530) 918-9055 · Fax (530) 918-9059

Phone(530) 918-9055

Fax(530) 918-9059

Sole ProprietorYes

Enumeration DateSeptember 13, 2006

Last NPPES UpdateMarch 11, 2026

NPPES CertifiedMarch 11, 2026

✔ NPI 1609971811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 52457

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

407 PINE ST, Mount Shasta, CA 96067

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Centeno 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 96067 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

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 Kimberly Centeno's NPI number?

The NPI number for Kimberly Centeno is 1609971811. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Kimberly Centeno located?

Kimberly Centeno practices at 407 Pine St, Mount Shasta, CA 96067. The listed phone number is (530) 918-9055.

What is Kimberly Centeno's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kimberly Centeno enrolled in Medicare?

Yes. Kimberly Centeno is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Centeno was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.