DR. KENNETH RONALD DORITY (D.O.) – Family Medicine Physician, NPI 1659313328

DR. KENNETH RONALD DORITY (D.O.) is a healthcare provider. based in Dallas, Texas. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. K0722 (TX). The NPI Number for DR. KENNETH RONALD DORITY (D.O.) is 1659313328

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH RONALD DORITY (D.O.)
NPI
1659313328
Phone
(214) 349-7440
Address
8414 FLOWER MEADOW DR
Enumeration Date
10 June 2006
Last Update Date
25 August 2022

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
8175225138
Graduation Year
1993 (33 years ago)
PAC ID
1052349388
Group Practice PAC ID
2062781180
Professional Enrollment ID
I20050728000828
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KENNETH RONALD DORITY (D.O.)

  • 8414, Flower Meadow Drive, Lake Highlands, Dallas, Dallas County, Texas, 75243, United States

    DALLAS, TX 752437424

    Phone: (214) 349-7440

    Fax: (214) 905-5015

    Type: Mailing

  • South State Highway 34, Quinlan, Hunt County, Texas, 75474, United States

    QUINLAN, TX 754749494

    Phone: (469) 595-2016

    Fax: (972) 962-8662

    Type: Location

  • 2912 KRAFT ST STE 30

    ARLINGTON, TX 760105410

    Phone: (402) 885-0365

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 98 Open Payments records for all available years, with a total value of $1,085.

Total Amount is formed as General ($1,085) + Research ($0) + Ownership ($0) = $1,085.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Corium, LLC ($320).

Total Amount

$1,085

General + Research + Ownership

Payments

98

Total payment records

General Amount

$1,085

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050728000828IGeneral PracticeTXTBD
I20230721002676IGeneral SurgeryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75243)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062781180View full group profile
NameSpecialtyState
-TX

Reviews

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Frequently asked questions

Is there an official ID for DR. KENNETH RONALD DORITY (D.O.) in U.S. healthcare records?
The official identifier for DR. KENNETH RONALD DORITY (D.O.) is NPI 1659313328.
Would DR. KENNETH RONALD DORITY (D.O.) appear as active to a payer?
You can treat DR. KENNETH RONALD DORITY (D.O.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. KENNETH RONALD DORITY (D.O.)?
DR. KENNETH RONALD DORITY (D.O.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KENNETH RONALD DORITY (D.O.)?
Travel planning: use Dallas, Texas as the reference point for DR. KENNETH RONALD DORITY (D.O.), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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