What is Ken Pedersen's NPI number?

Ken Pedersen's National Provider Identifier (NPI) is 1558475079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ken Pedersen's specialty?

Ken Pedersen is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Ken Pedersen located?

Ken Pedersen's practice location on file with NPPES is 111 W 31st St, Kearney, NE 68847-2916.

What is Ken Pedersen's phone number?

The practice phone number listed in the NPPES registry for Ken Pedersen is (308) 234-2828.

Is Ken Pedersen's NPI active?

Yes — Ken Pedersen's NPI (1558475079) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Ken Pedersen, D.D.S.

NPI 1558475079 · General Practice Dentistry · Kearney, NE

Ken Pedersen, D.D.S. is a General Practice Dentistry provider in Kearney, NE (NPI 1558475079).

Provider details

NPI number: 1558475079
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: Yes
License: 5459 (NE)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 5459 (NE)
Dental Providers

Profile Score

Detailed profile(90/100 index)

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

Registry tenure38% of score
19 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

111 W 31st St

Kearney, NE 68847-2916

Phone: (308) 234-2828

Fax: (308) 234-1099

Street-level locationGet directions

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Mailing address