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DR. CLIFFORD DEAN KERR DDS
NPI 1801955059
Dentist - General Practice in Lodi, CA

Active since December 06, 2006PECOS Enrolled
840 S FAIRMONT AVE, SUITE 4, LODI, CA 95240(209) 369-0345(209) 369-0363 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Clifford Dean Kerr Dds NPPES

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

DR. CLIFFORD DEAN KERR DDS (NPI 1801955059) is an individual general practice provider in Lodi, California, licensed in California (23527) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801955059
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CLIFFORD DEAN KERRCredential: DDS
Location Address840 S FAIRMONT AVE, SUITE 4Lodi, CA 95240
Mailing Address840 S Fairmont Ave, Suite 4Lodi, CA 95240 · (209) 369-0345 · Fax (209) 369-0363
Phone(209) 369-0345
Fax(209) 369-0363
Sole ProprietorNo
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801955059 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 · 23527
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.
840 S FAIRMONT AVE, Lodi, CA 95240
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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. Clifford Dean Kerr 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 95240 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 4

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

BEN GERVAS WATSON MD
Neuromusculoskeletal Medicine, Sports Medicine
840 S FAIRMONT AVE, SUITE 9
LODI, CA 95240
San Joaquin County (209) 333-1751
MR. TIMOTHY A. HALE P.T.
Physical Therapist
840 S FAIRMONT AVE, STE. 5
LODI, CA 95240
San Joaquin County (209) 368-8870
MATRIX REHABILITATION, INC.
Clinic/Center (Physical Therapy)
840 S FAIRMONT AVE, SUITE 5
LODI, CA 95240
San Joaquin County (209) 368-8870
ENDOSCOPY CENTER OF LODI
Clinic/Center (Endoscopy)
840 S FAIRMONT AVE, SUITE 1
LODI, CA 95240
San Joaquin County (209) 371-8700

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 Clifford Kerr's NPI number?

The NPI number for Clifford Kerr is 1801955059. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Clifford Kerr located?

Clifford Kerr practices at 840 S Fairmont Ave Suite 4, Lodi, CA 95240. The listed phone number is (209) 369-0345.

What is Clifford Kerr's specialty?

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

Is Clifford Kerr enrolled in Medicare?

Yes. Clifford Kerr is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clifford Kerr was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.