KENNIE KWOK DMD
NPI 1912269945
Dentist - Periodontics in San Diego, CA
About Kennie Kwok Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNIE KWOK DMD (NPI 1912269945) is an individual periodontics provider in San Diego, California, licensed in California (65162) and active in the NPI registry since June 2012. He has opted out of Medicare through October 29, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kennie Kwok Dmd 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 October 29, 2017 through October 29, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92103
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 Kennie Kwok's NPI number?
The NPI number for Kennie Kwok is 1912269945. It was assigned to this individual provider in the NPPES registry on June 14, 2012.
Where is Kennie Kwok located?
Kennie Kwok practices at 4060 4th Ave Suite 303, San Diego, CA 92103. The listed phone number is (619) 543-0905.
What is Kennie Kwok's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.
Is Kennie Kwok enrolled in Medicare?
No. Kennie Kwok has opted out of Medicare through October 29, 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.
What insurance does Kennie Kwok 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, Humana and Renaissance Dental list Kennie Kwok 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 Kennie Kwok was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kennie Kwok, DMD · NPI 1912269945
Periodontics provider in San Diego, California. Individual provider, active in the CMS NPPES registry since June 14, 2012.
## Identity
- **NPI:** 1912269945 (Entity type: Individual)
- **Enumerated:** June 14, 2012
- **Primary specialty:** Dentist - Periodontics · taxonomy 1223P0300X
- **State license:** 65162 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4060 4TH AVE, SUITE 303, San Diego, CA 92103-2116
- **Phone:** (619) 543-0905
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 29, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 14, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1912269945) · Data from the CMS NPPES public registry.