DR. JORDAN BRENT KENNEDY DMD
NPI 1083788715
Dentist - General Practice in Wildwood, FL

Q: What is Jordan Kennedy's NPI number?

The NPI number for Jordan Kennedy is 1083788715. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Q: What is Jordan Kennedy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Kennedy was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 17, 2006PECOS Enrolled

4675 E SR 44, #104, WILDWOOD, FL 34785(352) 418-3041 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jordan Brent Kennedy Dmd NPPES

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

DR. JORDAN BRENT KENNEDY DMD (NPI 1083788715) is an individual general practice provider in Wildwood, Florida, licensed in Florida (DN17715) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083788715

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JORDAN BRENT KENNEDYCredential: DMD

Location Address4675 E SR 44, #104Wildwood, FL 34785-7461

Mailing Address4675 E Sr 44, #104Wildwood, FL 34785-7461 · (352) 418-3041

Phone(352) 418-3041

Sole ProprietorNo

Enumeration DateNovember 17, 2006

Last NPPES UpdateMarch 24, 2017

✔ NPI 1083788715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN17715

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4675 E SR 44, Wildwood, FL 34785

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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)

Dr. Jordan Brent Kennedy Dmd 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 34785 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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 Jordan Kennedy's NPI number?

The NPI number for Jordan Kennedy is 1083788715. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Jordan Kennedy located?

Jordan Kennedy practices at 4675 E Sr 44 #104, Wildwood, FL 34785. The listed phone number is (352) 418-3041.

What is Jordan Kennedy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jordan Kennedy enrolled in Medicare?

Yes. Jordan Kennedy is registered in the Medicare PECOS enrollment system.

What insurance does Jordan Kennedy 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 Jordan Kennedy 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 Jordan Kennedy was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.