DR. KEITH R KUBIAK D.D.S.
NPI 1801949029
Dentist - General Practice in Giddings, TX

Active since January 19, 2007Opted out of Medicare · through Feb 16, 2028
165 S LEON ST, GIDDINGS, TX 78942(979) 542-3696 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Keith R Kubiak D.d.s. NPPES

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

DR. KEITH R KUBIAK D.D.S. (NPI 1801949029) is an individual general practice provider in Giddings, Texas, licensed in Texas (22302) and active in the NPI registry since January 2007. He has opted out of Medicare through February 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1801949029
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEITH R KUBIAKCredential: D.D.S.
Location Address165 S LEON STGiddings, TX 78942-3313
Mailing Address165 S Leon StGiddings, TX 78942-3313 · (979) 542-3696
Sole ProprietorYes
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1801949029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 22302
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.
165 S LEON ST, Giddings, TX 78942

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Keith R Kubiak D.d.s. 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 February 16, 2016 through February 16, 2028.

Opt-Out Effective DateFebruary 16, 2016
Opt-Out In Effect ThroughFebruary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78942 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 2

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

Psychologist
165 S LEON ST
GIDDINGS, TX 78942
Dentist (General Practice)
165 S LEON ST
GIDDINGS, TX 78942

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 Keith Kubiak's NPI number?

The NPI number for Keith Kubiak is 1801949029. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Keith Kubiak located?

Keith Kubiak practices at 165 S Leon St, Giddings, TX 78942. The listed phone number is (979) 542-3696.

What is Keith Kubiak's specialty?

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

Is Keith Kubiak enrolled in Medicare?

No. Keith Kubiak has opted out of Medicare through February 16, 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 Keith Kubiak 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.