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KENNETH ADAMS JR. D.D.S.
NPI 1104246750
Dentist - General Practice in Greenwood, IN

Active since April 22, 2014PECOS Enrolled
1759 VIDALIA CT, GREENWOOD, IN 46143(317) 691-8838 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Adams Jr. D.d.s. NPPES

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

KENNETH ADAMS JR. D.D.S. (NPI 1104246750) is an individual general practice provider in Greenwood, Indiana, licensed in Indiana (12007211A) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104246750
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENNETH ADAMS JR.Credential: D.D.S.
Location Address1759 VIDALIA CTGreenwood, IN 46143-6946
Mailing Address1759 Vidalia CtGreenwood, IN 46143-6946 · (317) 691-8838
Phone(317) 691-8838
Sole ProprietorYes
Enumeration DateApril 22, 2014
✔ NPI 1104246750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12007211A
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.
1759 VIDALIA CT, Greenwood, IN 46143
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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 Adams Jr. D.d.s. 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 46143 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 Kenneth Adams's NPI number?

The NPI number for Kenneth Adams is 1104246750. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Where is Kenneth Adams located?

Kenneth Adams practices at 1759 Vidalia Ct, Greenwood, IN 46143. The listed phone number is (317) 691-8838.

What is Kenneth Adams's specialty?

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

Is Kenneth Adams enrolled in Medicare?

Yes. Kenneth Adams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Adams was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.