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JARED KENNEY DDS
NPI 1104238716
Dentist - Oral and Maxillofacial Surgery in Maricopa, AZ

Active since May 30, 2014PECOS Enrolled
21300 N JOHN WAYNE PKWY STE 114, MARICOPA, AZ 85139(520) 231-6700(520) 208-9066 Get Directions Write a Review

NPPES record last updated: December 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 28, 2024, Jul 23, 2018, Nov 21, 2016 (3 updates tracked since 2016).

About Jared Kenney Dds NPPES

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

JARED KENNEY DDS (NPI 1104238716) is an individual oral and maxillofacial surgery provider in Maricopa, Arizona, licensed in Arizona (D009960) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chandler.

NPPES Registry Identity

NPI1104238716
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJARED KENNEYCredential: DDS
Location Address21300 N JOHN WAYNE PKWY STE 114Maricopa, AZ 85139
Mailing Address3232 E Redwood LnPhoenix, AZ 85048-7834 · (916) 204-8762
Phone(520) 231-6700
Fax(520) 208-9066
Sole ProprietorNo
Enumeration DateMay 30, 2014
Last NPPES UpdateDecember 28, 20243 updates tracked since enumeration
NPPES CertifiedDecember 28, 2024
✔ NPI 1104238716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in AZ · D009960
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
21300 N JOHN WAYNE PKWY STE 114, Maricopa, AZ 85139
Open in Google Maps ↗

Secondary Practice Location 1

Location 13200 S Gilbert Rd Ste 117Chandler, AZ 85286-5107 · Phone (520) 231-6700 · Fax (520) 208-9066

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared Kenney 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.

Medicare Billing Reassignment

Medicare enrollment records show Jared Kenney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oasis Oral And Facial Surgery PLLC
Same address
Oral & Maxillofacial Surgery
21300 N JOHN WAYNE PKWY STE 114
Maricopa, AZ 85139
  • Reassigned Medicare billing, Arizona enrollment
NPI 1023593068 (520) 231-6700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85139 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

OASIS ORAL AND FACIAL SURGERY PLLC
Oral & Maxillofacial Surgery
21300 N JOHN WAYNE PKWY STE 114
MARICOPA, AZ 85139
Pinal County (520) 231-6700

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 Jared Kenney's NPI number?

The NPI number for Jared Kenney is 1104238716. It was assigned to this individual provider in the NPPES registry on May 30, 2014.

Where is Jared Kenney located?

Jared Kenney practices at 21300 N John Wayne Pkwy Ste 114, Maricopa, AZ 85139. The listed phone number is (520) 231-6700.

What is Jared Kenney's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jared Kenney enrolled in Medicare?

Yes. Jared Kenney is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jared Kenney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Kenney reassigns Medicare benefits to Oasis Oral And Facial Surgery PLLC (Maricopa, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jared Kenney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jared Kenney accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Montana and 9 other insurers list Jared Kenney 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 Jared Kenney was last updated on December 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.