KENNEDY MARZONIE GRAY & ASSOCIATES PLLC
NPI 1154430718
Dentist in Ann Arbor, MI

Q: What is Kennedy Marzonie Gray & Associates PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since August 29, 2006

2365 S HURON PKWY, ANN ARBOR, MI 48104(734) 677-8700(348) 394-1377 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 1, 2022, Oct 14, 2020, Aug 31, 2020 and 1 more (4 updates tracked since 2020).

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About Kennedy Marzonie Gray & Associates Pllc NPPES

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

KENNEDY MARZONIE GRAY & ASSOCIATES PLLC (NPI 1154430718) is a healthcare organization registered as a dentist in Ann Arbor, Michigan and active in the NPI registry since August 2006. The organization lists Sharene Nicole Rumohr, Billing And Marketing Manager, as its authorized official.

NPPES Registry Identity

NPI1154430718

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameKENNEDY MARZONIE GRAY & ASSOCIATES PLLC

Location Address2365 S HURON PKWYAnn Arbor, MI 48104-5156

Mailing Address2365 S Huron PkwyAnn Arbor, MI 48104-5156 · (734) 677-8700 · Fax (734) 839-4137

Phone(734) 677-8700

Fax(348) 394-1377

Organization SubpartNo

Authorized OfficialSharene Nicole RumohrBilling And Marketing Manager · (734) 677-8700

Enumeration DateAugust 29, 2006

Last NPPES UpdateAugust 1, 20224 updates tracked since enumeration

NPPES CertifiedAugust 1, 2022

✔ NPI 1154430718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in MI · 18447✔ Licensed in MI · 12814✔ Licensed in MI · 12824

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2365 S HURON PKWY, Ann Arbor, MI 48104

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennedy Marzonie Gray & Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMichiganEnrollment IDO20131031001073DME · Oral Surgery - DentistDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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.

ALEXANDER THOMAS MARLOW DMD

Dentist (General Practice)

2365 S HURON PKWY
ANN ARBOR, MI 48104

Washtenaw County (734) 677-8700

MRS. SHARON KAY ALLEN LMSW

Social Worker (Clinical)

2365 S HURON PKWY, SUITE A
ANN ARBOR, MI 48104

Washtenaw County (734) 913-9548

EMILY SUSAN MARLOW DDS

Dentist

2365 S HURON PKWY
ANN ARBOR, MI 48104

Washtenaw County (734) 677-8700

SAHIL MANHAS DDS

Dentist

2365 S HURON PKWY
ANN ARBOR, MI 48104

Washtenaw County (734) 677-8700

JAIME REICHLMAYR

Dentist

2365 S HURON PKWY
ANN ARBOR, MI 48104

Washtenaw County (734) 677-8700

DANIEL JACOB KENNEDY DDS

Dentist

2365 S HURON PKWY
ANN ARBOR, MI 48104

Washtenaw County (734) 677-8700

DR. ETHAN THOMAS KOLDERMAN DDS

Dentist

2365 S HURON PKWY
ANN ARBOR, MI 48104

Washtenaw County (734) 677-8700

APNEA ALTERNATIVES

Dentist

2365 S HURON PKWY
ANN ARBOR, MI 48104

Washtenaw County (734) 677-8700

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 Kennedy Marzonie Gray & Associates PLLC's NPI number?

The NPI number for Kennedy Marzonie Gray & Associates PLLC is 1154430718. It was assigned to this organization in the NPPES registry on August 29, 2006.

Where is Kennedy Marzonie Gray & Associates PLLC located?

Kennedy Marzonie Gray & Associates PLLC is located at 2365 S Huron Pkwy, Ann Arbor, MI 48104. The listed phone number is (734) 677-8700.

What is Kennedy Marzonie Gray & Associates PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kennedy Marzonie Gray & Associates PLLC enrolled in Medicare?

Yes. Kennedy Marzonie Gray & Associates PLLC is registered in the Medicare PECOS enrollment system.

When is Kennedy Marzonie Gray & Associates PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Michigan, Oral Surgery - Dentist) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Kennedy Marzonie Gray & Associates PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Kennedy Marzonie Gray & Associates PLLC 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 Kennedy Marzonie Gray & Associates PLLC was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.