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DR. KIMI LYNN ANDAYA DMD
NPI 1639362163
Dentist - General Practice in Denver, CO

Active since August 17, 2007PECOS Enrolled
777 BANNOCK ST, DENVER, CO 80204(303) 436-6000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 21, 2017 (3 updates tracked since 2017).

About Dr. Kimi Lynn Andaya Dmd NPPES

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

DR. KIMI LYNN ANDAYA DMD (NPI 1639362163) is an individual general practice provider in Denver, Colorado, licensed in Colorado (203108) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hendersonville.

NPPES Registry Identity

NPI1639362163
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KIMI LYNN ANDAYACredential: DMD
Location Address777 BANNOCK STDenver, CO 80204-4507
Mailing Address777 Bannock StDenver, CO 80204-4507 · (303) 436-6000
Phone(303) 436-6000
Sole ProprietorNo
Enumeration DateAugust 17, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1639362163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · 203108
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.

777 BANNOCK ST, Denver, CO 80204
Open in Google Maps ↗

Secondary Practice Location 1

Location 1305 Indian Lake Blvd, Ste B260Hendersonville, TN 37075-6376 · Phone (615) 238-6730

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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. Kimi Lynn Andaya Dmd 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 80204 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 20

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

DR. WALTER L. BIFFL MD
Surgery
777 BANNOCK ST, MC 0206
DENVER, CO 80204
Denver County (303) 436-5842
DR. ERIC PETERSON MD
Family Medicine
777 BANNOCK ST, VC 1914
DENVER, CO 80204
Denver County (303) 436-6000
MARGARET TOMCHO MD
Pediatrics
777 BANNOCK ST, MC 3000
DENVER, CO 80204
Denver County (303) 436-4320
DR. JOHN C HOLLAND M.D.
Psychiatry & Neurology (Psychiatry)
777 BANNOCK ST
DENVER, CO 80204
Denver County (720) 236-2390
NORMA J STIGLICH M.D.
Obstetrics & Gynecology
777 BANNOCK ST, MC 3240
DENVER, CO 80204
Denver County (303) 436-6000
DR. CHARLES A SHUMAN MD
Psychiatry & Neurology (Psychiatry)
777 BANNOCK ST, UNIT 9
DENVER, CO 80204
Denver County (303) 436-7777
SHEILA ANNE LORENTZEN C.N.M.
Advanced Practice Midwife
777 BANNOCK ST
DENVER, CO 80204
Denver County (970) 231-4012
PAULINE FRANCES CONNOR CNM, NP
Nurse Practitioner (Obstetrics & Gynecology)
777 BANNOCK ST, MC 1914
DENVER, CO 80204
Denver County (303) 436-6000

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 Kimi Andaya's NPI number?

The NPI number for Kimi Andaya is 1639362163. It was assigned to this individual provider in the NPPES registry on August 17, 2007.

Where is Kimi Andaya located?

Kimi Andaya practices at 777 Bannock St, Denver, CO 80204. The listed phone number is (303) 436-6000.

What is Kimi Andaya's specialty?

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

Is Kimi Andaya enrolled in Medicare?

Yes. Kimi Andaya is registered in the Medicare PECOS enrollment system.

What insurance does Kimi Andaya accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Kimi Andaya 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 Kimi Andaya was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.