KENNETH DONAHUE DDS
NPI 1033573209
Dentist in Philadelphia, PA

Active since April 13, 2016PECOS Enrolled
1517 PACKER AVENUE, PHILADELPHIA, PA 19145(215) 462-2424(215) 271-2915 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth Donahue Dds NPPES

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

KENNETH DONAHUE DDS (NPI 1033573209) is an individual dentist in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS025750L) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033573209
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKENNETH DONAHUECredential: DDS
Location Address1517 PACKER AVENUEPhiladelphia, PA 19145
Mailing Address1517 Packer AvePhiladelphia, PA 19145-4910 · (215) 462-2424 · Fax (215) 271-2915
Fax(215) 271-2915
Sole ProprietorNo
Enumeration DateApril 13, 2016
NPI 1033573209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in PA · DS025750L
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1517 PACKER AVENUE, Philadelphia, PA 19145

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenneth Donahue Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19145 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1517 PACKER AVENUE
PHILADELPHIA, PA 19145

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033573209, enumerated as an "individual" on April 13, 2016.

The provider is located at 1517 PACKER AVENUE PHILADELPHIA, PA 19145 and the phone number is (215) 462-2424.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.