DR. KIMBERLY CENTENO D.D.S.
NPI 1609971811
Dentist in Mount Shasta, CA
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
Specialties & Licenses
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.
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).
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.
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 with the weekly NPPES data releases published by CMS.
