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KENNETH MICHAEL KIPPELS M.D.
NPI 1821215849
General Practice in Dallas, TX

Active since April 19, 2007Opted out of Medicare · through Sep 20, 2027
14180 DALLAS PKWY, SUITE 520, DALLAS, TX 75254(972) 701-9696(972) 701-9797 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Michael Kippels M.d. NPPES

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

KENNETH MICHAEL KIPPELS M.D. (NPI 1821215849) is an individual general practice provider in Dallas, Texas, licensed in Texas (E5551) and active in the NPI registry since April 2007. He has opted out of Medicare through September 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821215849
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameKENNETH MICHAEL KIPPELSCredential: M.D.
Location Address14180 DALLAS PKWY, SUITE 520Dallas, TX 75254-4341
Mailing Address7036 Twin Knoll LanePlano, TX 75024 · (214) 693-5844 · Fax (972) 701-9797
Phone(972) 701-9696
Fax(972) 701-9797
Sole ProprietorYes
Enumeration DateApril 19, 2007
Last NPPES UpdateAugust 7, 2013
✔ NPI 1821215849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · E5551
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
14180 DALLAS PKWY, Dallas, TX 75254
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Other Identifiers 1

Medicare UPINB23978TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kenneth Michael Kippels M.d. 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 September 20, 2013 through September 20, 2027.

Opt-Out Effective DateSeptember 20, 2013
Opt-Out In Effect ThroughSeptember 20, 2027Opt-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.

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.

MINSHEW-SHURR HEALTHCARE GROUP P A
Chiropractor (Sports Physician)
14180 DALLAS PKWY, SUITE 520
DALLAS, TX 75254
Dallas County (972) 701-9696
DR. BLAKE LLOYD DAVIDSON D.C.
Chiropractor
14180 DALLAS PKWY, SUITE 520
DALLAS, TX 75254
Dallas County (972) 701-9696
COURTNEY BOONE PA-C
Physician Assistant
14180 DALLAS PKWY
DALLAS, TX 75254
Dallas County (469) 391-0070
DR. JANIZ MINSHEW-SHURR D.C.
Chiropractor (Orthopedic)
14180 DALLAS PKWY, SUITE 520
DALLAS, TX 75254
Dallas County (972) 701-9696

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 Kippels's NPI number?

The NPI number for Kenneth Kippels is 1821215849. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Kenneth Kippels located?

Kenneth Kippels practices at 14180 Dallas Pkwy Suite 520, Dallas, TX 75254. The listed phone number is (972) 701-9696.

What is Kenneth Kippels's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kenneth Kippels enrolled in Medicare?

No. Kenneth Kippels has opted out of Medicare through September 20, 2027. 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 Kenneth Kippels was last updated on August 7, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.