What is Kenneth Mickens's NPI number?

Kenneth Mickens's National Provider Identifier (NPI) is 1205064151, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kenneth Mickens's specialty?

Kenneth Mickens is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Kenneth Mickens located?

Kenneth Mickens's practice location on file with NPPES is 3400 Penrose Pl, Boulder, CO 80301-1809.

What is Kenneth Mickens's phone number?

The practice phone number listed in the NPPES registry for Kenneth Mickens is (303) 442-8700.

Is Kenneth Mickens's NPI active?

Yes — Kenneth Mickens's NPI (1205064151) is active in the NPPES registry as of the last update on 2009-06-30.

IndividualActive

Kenneth Mickens, DDS

NPI 1205064151 · Dentist · Boulder, CO

Kenneth Mickens, DDS is a Dentist provider in Boulder, CO (NPI 1205064151).

Provider details

NPI number: 1205064151
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 7244 (CO)

Specialties & taxonomies

DentistPrimary122300000XLicense 7244 (CO)
Dental Providers

Profile Score

Detailed profile(85/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
17 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3400 Penrose Pl

Suite 101

Boulder, CO 80301-1809

Phone: (303) 442-8700

Fax: (303) 442-1326

Street-level locationGet directions

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Mailing address