KELLY ANN ROTH D.D.S.
NPI 1104837111
Dentist - General Practice in North Canton, OH

Q: What is Kelly Roth's NPI number?

The NPI number for Kelly Roth is 1104837111. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Q: What is Kelly Roth'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 Kelly Roth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 11, 2006PECOS Enrolled

1515 PORTAGE ST NW, SUITE I, NORTH CANTON, OH 44720(330) 494-0646(330) 494-9181 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Ann Roth D.d.s. NPPES

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

KELLY ANN ROTH D.D.S. (NPI 1104837111) is an individual general practice provider in North Canton, Ohio, licensed in Ohio (20709) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104837111

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameKELLY ANN ROTHCredential: D.D.S.

Location Address1515 PORTAGE ST NW, SUITE INorth Canton, OH 44720-2290

Mailing Address7077 Pebblestone Ave NwNorth Canton, OH 44720-6679 · (330) 433-9070

Phone(330) 494-0646

Fax(330) 494-9181

Sole ProprietorNo

Enumeration DateAugust 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104837111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OH · 20709

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.

1515 PORTAGE ST NW, North Canton, OH 44720

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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)

Kelly Ann Roth 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 44720 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 9

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

NEIDERT CHIROPRACTIC, INC.

Chiropractor (Nutrition)

1515 PORTAGE ST NW, SUITE C
NORTH CANTON, OH 44720

Stark County (330) 499-1518

DR. WILLIAM KONRAD NEIDERT JR. D.C.

Chiropractor (Nutrition)

1515 PORTAGE ST NW, SUITE C
NORTH CANTON, OH 44720

Stark County (330) 499-1518

DR. BRENT A VANHALA DDS

Dentist

1515 PORTAGE ST NW
NORTH CANTON, OH 44720

Stark County (330) 494-0646

HENRY A VANHALA DDS

Dentist (General Practice)

1515 PORTAGE ST NW
NORTH CANTON, OH 44720

Stark County (330) 494-0646

DR. LAWRENCE M COHEN DPM

Podiatrist

1515 PORTAGE ST NW, SUITE A
NORTH CANTON, OH 44720

Stark County (330) 494-4949

DR. LELAND QUINTEN CAMPBELL II D.D.S.

Dentist

1515 PORTAGE ST NW, SUITE D
NORTH CANTON, OH 44720

Stark County (330) 494-3201

DR. MICHAEL DOUGLAS BABICS D.D.S.

Dentist (General Practice)

1515 PORTAGE ST NW, SUITE H
NORTH CANTON, OH 44720

Stark County (330) 494-8508

LAWRENCE M. COHEN, DPM,INC

Podiatrist (Foot & Ankle Surgery)

1515 PORTAGE ST NW, SUITE A
NORTH CANTON, OH 44720

Stark County (330) 494-4949

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 Kelly Roth's NPI number?

The NPI number for Kelly Roth is 1104837111. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Kelly Roth located?

Kelly Roth practices at 1515 Portage St NW Suite I, North Canton, OH 44720. The listed phone number is (330) 494-0646.

What is Kelly Roth's specialty?

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

Is Kelly Roth enrolled in Medicare?

Yes. Kelly Roth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Roth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.