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DR. KENNETH GORDON HEATON JR. DDS
NPI 1740263359
Dentist - General Practice in Los Banos, CA

Active since November 29, 2005PECOS Enrolled
725 W I ST, LOS BANOS, CA 93635(209) 826-1094(209) 826-7808 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Gordon Heaton Jr. Dds NPPES

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

DR. KENNETH GORDON HEATON JR. DDS (NPI 1740263359) is an individual general practice provider in Los Banos, California, licensed in California (41731) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740263359
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENNETH GORDON HEATON JR.Credential: DDS
Location Address725 W I STLos Banos, CA 93635-3478
Mailing Address737 W Childs AveMerced, CA 95340-6805 · (209) 383-1848 · Fax (209) 384-3966
Phone(209) 826-1094
Fax(209) 826-7808
Sole ProprietorNo
Enumeration DateNovember 29, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1740263359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 41731
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.
725 W I ST, Los Banos, CA 93635
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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. Kenneth Gordon Heaton Jr. 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 93635 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 6

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

DR. JORDAN COMBS DDS
Dentist (General Practice)
725 W I ST
LOS BANOS, CA 93635
Merced County (209) 826-1094
ZEENAT KHAN BDS, MS
Dentist
725 W I ST
LOS BANOS, CA 93635
Merced County (209) 826-1094
FAIZAN FARID DDS
Dentist
725 W I ST
LOS BANOS, CA 93635
Merced County (209) 722-4842
GOLDEN VALLEY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
725 W I ST
LOS BANOS, CA 93635
Merced County (209) 826-1094
GOLDEN VALLEY HEALTH CENTERS
Dentist (General Practice)
725 W I ST
LOS BANOS, CA 93635
Merced County (209) 826-1045
ANNABEL CERNA RDH
Dental Hygienist
725 W I ST
LOS BANOS, CA 93635
Merced County (209) 826-1094

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 Kenneth Heaton's NPI number?

The NPI number for Kenneth Heaton is 1740263359. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Kenneth Heaton located?

Kenneth Heaton practices at 725 W I St, Los Banos, CA 93635. The listed phone number is (209) 826-1094.

What is Kenneth Heaton's specialty?

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

Is Kenneth Heaton enrolled in Medicare?

Yes. Kenneth Heaton is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Heaton 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 Renaissance Dental list Kenneth Heaton 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 Kenneth Heaton was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.