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: July 19, 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
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

Accepted 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 8

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

Dentist (General Practice)
725 W I ST
LOS BANOS, CA 93635
Dental Hygienist
725 W I ST
LOS BANOS, CA 93635
Clinic/Center (Federally Qualified Health Center (FQHC))
725 W I ST
LOS BANOS, CA 93635
Dentist (General Practice)
725 W I ST
LOS BANOS, CA 93635
Dentist
725 W I ST
LOS BANOS, CA 93635
Dentist
725 W I ST
LOS BANOS, CA 93635
Dentist (General Practice)
725 W I ST
LOS BANOS, CA 93635
Dentist
725 W I ST
LOS BANOS, CA 93635

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740263359, enumerated as an "individual" on November 29, 2005.

The provider is located at 725 W I ST LOS BANOS, CA 93635 and the phone number is (209) 826-1094.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.