MARK R KENFIELD DDS
NPI 1649309121
Dentist - General Practice in Racine, WI
About Mark R Kenfield Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK R KENFIELD DDS (NPI 1649309121) is an individual general practice provider in Racine, Wisconsin, licensed in Wisconsin (500207) and active in the NPI registry since March 2007. He has opted out of Medicare through June 6, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mark R Kenfield 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 June 6, 2018 through June 6, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mark Kenfield's NPI number?
The NPI number for Mark Kenfield is 1649309121. It was assigned to this individual provider in the NPPES registry on March 2, 2007.
Where is Mark Kenfield located?
Mark Kenfield practices at 1320 S Greenbay Rd, Racine, WI 53406. The listed phone number is (262) 637-9371.
What is Mark Kenfield's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Mark Kenfield enrolled in Medicare?
No. Mark Kenfield has opted out of Medicare through June 6, 2028. 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.
When was this NPI record last updated?
The NPPES record for Mark Kenfield was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Mark R Kenfield, DDS · NPI 1649309121
General Practice provider in Racine, Wisconsin. Individual provider, active in the CMS NPPES registry since March 2, 2007.
## Identity
- **NPI:** 1649309121 (Entity type: Individual)
- **Enumerated:** March 2, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 500207 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1320 S GREENBAY RD, Racine, WI 53406-4406
- **Phone:** (262) 637-9371
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 6, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 33384700 (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1649309121) · Data from the CMS NPPES public registry.