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DR. SONNY RAY PORTER DDS
NPI 1669603759
Dentist - Oral and Maxillofacial Surgery in Garden City, KS

Active since August 06, 2009PECOS Enrolled
311 N CAMPUS DR STE 101, GARDEN CITY, KS 67846(620) 272-0100(620) 271-0160 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Apr 18, 2024, Sep 29, 2020 (3 updates tracked since 2020).

About Dr. Sonny Ray Porter Dds NPPES

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

DR. SONNY RAY PORTER DDS (NPI 1669603759) is an individual oral and maxillofacial surgery provider in Garden City, Kansas, licensed in Kansas (62067) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669603759
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SONNY RAY PORTERCredential: DDS
Location Address311 N CAMPUS DR STE 101Garden City, KS 67846-6298
Mailing Address7528 E Peralta AveMesa, AZ 85212-9724 · (909) 646-2941
Phone(620) 272-0100
Fax(620) 271-0160
Sole ProprietorYes
Enumeration DateAugust 6, 2009
Last NPPES UpdateSeptember 24, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1669603759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in KS · 62067
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
311 N CAMPUS DR STE 101, Garden City, KS 67846
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Kansas, Inc. 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. Sonny Ray Porter Dds 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 67846 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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 Sonny Porter's NPI number?

The NPI number for Sonny Porter is 1669603759. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Sonny Porter located?

Sonny Porter practices at 311 N Campus Dr Ste 101, Garden City, KS 67846. The listed phone number is (620) 272-0100.

What is Sonny Porter's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Sonny Porter enrolled in Medicare?

Yes. Sonny Porter is registered in the Medicare PECOS enrollment system.

What insurance does Sonny Porter accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of Montana and 11 other insurers list Sonny Porter 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 Sonny Porter was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.