DR. KENT H WYATT DDS
NPI 1629264957
Dentist - Endodontics in Green Valley, AZ

Active since September 20, 2007Opted out of Medicare · through Oct 27, 2026
512 E WHITEHOUSE CANYON RD, SUITE 120, GREEN VALLEY, AZ 85614(520) 625-6167(520) 625-6169 Get Directions Write a Review

NPPES record last updated: September 20, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kent H Wyatt Dds NPPES

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

DR. KENT H WYATT DDS (NPI 1629264957) is an individual endodontics provider in Green Valley, Arizona, licensed in Arizona (5837) and active in the NPI registry since September 2007. He has opted out of Medicare through October 27, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629264957
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. KENT H WYATTCredential: DDS
Location Address512 E WHITEHOUSE CANYON RD, SUITE 120Green Valley, AZ 85614-0550
Mailing Address512 E Whitehouse Canyon Rd, Suite 120Green Valley, AZ 85614-0550 · (520) 625-6167 · Fax (520) 625-6169
Fax(520) 625-6169
Sole ProprietorNo
Enumeration DateSeptember 20, 2007
NPI 1629264957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in AZ · 5837
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

512 E WHITEHOUSE CANYON RD, Green Valley, AZ 85614

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Kent H Wyatt Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 27, 2020 through October 27, 2026.

Opt-Out Effective DateOctober 27, 2020
Opt-Out In Effect ThroughOctober 27, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85614 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 5

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

Clinic/Center (Dental)
512 E WHITEHOUSE CANYON RD, SUITE 120
GREEN VALLEY, AZ 85614
Dentist (Endodontics)
512 E WHITEHOUSE CANYON RD, SUITE 120
GREEN VALLEY, AZ 85614
Dentist (Endodontics)
512 E WHITEHOUSE CANYON RD, SUITE 120
GREEN VALLEY, AZ 85614
Chiropractor
512 E WHITEHOUSE CANYON RD, SUITE 150
GREEN VALLEY, AZ 85614
Audiologist
512 E WHITEHOUSE CANYON RD, SUITE 196
GREEN VALLEY, AZ 85614

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 Kent Wyatt's NPI number?

The NPI number for Kent Wyatt is 1629264957. It was assigned to this individual provider in the NPPES registry on September 20, 2007.

Where is Kent Wyatt located?

Kent Wyatt practices at 512 E Whitehouse Canyon Rd Suite 120, Green Valley, AZ 85614. The listed phone number is (520) 625-6167.

What is Kent Wyatt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Kent Wyatt enrolled in Medicare?

No. Kent Wyatt has opted out of Medicare through October 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kent Wyatt accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Kent Wyatt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kent Wyatt was last updated on September 20, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.