KENNETH EDWARDS DMD
NPI 1114471943
Dentist - Orthodontics and Dentofacial Orthopedics in Blue Springs, MO

Active since August 10, 2016PECOS Enrolled
1205 NE CORONADO DR, BLUE SPRINGS, MO 64014(816) 228-4090 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Nov 30, 2017, Aug 10, 2016 (3 updates tracked since 2016).

About Kenneth Edwards Dmd NPPES

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

KENNETH EDWARDS DMD (NPI 1114471943) is an individual orthodontics and dentofacial orthopedics provider in Blue Springs, Missouri, licensed in Missouri (2016006251) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1114471943
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameKENNETH EDWARDSCredential: DMD
Location Address1205 NE CORONADO DRBlue Springs, MO 64014-2928
Mailing Address2622 S 13th St, FrntSaint Louis, MO 63118-1804 · (314) 309-4494
Sole ProprietorYes
Enumeration DateAugust 10, 2016
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
NPI 1114471943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MO · 2016006251
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2016006251 (MO)
1205 NE CORONADO DR, Blue Springs, MO 64014

Secondary Practice Location 1

Location 12622 S 13th St, FrntSaint Louis, MO 63118-1804 · Phone (217) 851-0235

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 Edwards 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 64014 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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 8

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

Dentist (General Practice)
1205 NE CORONADO DR
BLUE SPRINGS, MO 64014
Dentist
1205 NE CORONADO DR
BLUE SPRINGS, MO 64014
Dentist (General Practice)
1205 NE CORONADO DR
BLUE SPRINGS, MO 64014
Dentist (Pediatric Dentistry)
1205 NE CORONADO DR
BLUE SPRINGS, MO 64014
Dentist (General Practice)
1205 NE CORONADO DR
BLUE SPRINGS, MO 64014
Dentist (General Practice)
1205 NE CORONADO DR
BLUE SPRINGS, MO 64014
Dentist (General Practice)
1205 NE CORONADO DR
BLUE SPRINGS, MO 64014
Dentist (General Practice)
1205 NE CORONADO DR
BLUE SPRINGS, MO 64014

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 Edwards's NPI number?

The NPI number for Kenneth Edwards is 1114471943. It was assigned to this individual provider in the NPPES registry on August 10, 2016.

Where is Kenneth Edwards located?

Kenneth Edwards practices at 1205 NE Coronado Dr, Blue Springs, MO 64014. The listed phone number is (816) 228-4090.

What is Kenneth Edwards's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Kenneth Edwards enrolled in Medicare?

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

What insurance does Kenneth Edwards accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Kenneth Edwards 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 Kenneth Edwards was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.