DR. KENNETH LEE STAUDT JR. DDS MPH
NPI 1225258270
Dentist in Port Orange, FL

Q: What is Kenneth Staudt's NPI number?

The NPI number for Kenneth Staudt is 1225258270. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Q: What is Kenneth Staudt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Staudt 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 May 01, 2007PECOS Enrolled

944 BRIDGEWATER DR, #2B, PORT ORANGE, FL 32129(386) 756-8953(386) 756-9184 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 Dr. Kenneth Lee Staudt Jr. Dds Mph NPPES

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

DR. KENNETH LEE STAUDT JR. DDS MPH (NPI 1225258270) is an individual dentist in Port Orange, Florida, licensed in Florida (DN00011886) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225258270

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KENNETH LEE STAUDT JR.Credential: DDS MPH

Location Address944 BRIDGEWATER DR, #2BPort Orange, FL 32129

Mailing Address944 Bridgewater Dr, #2bPort Orange, FL 32129 · (386) 756-8953 · Fax (386) 756-9184

Phone(386) 756-8953

Fax(386) 756-9184

Sole ProprietorNo

Enumeration DateMay 1, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1225258270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN00011886

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.

944 BRIDGEWATER DR, Port Orange, FL 32129

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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)

Dr. Kenneth Lee Staudt Jr. Dds Mph 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 32129 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

DR. EDWARD LEE STAUDT DDS

Dentist (General Practice)

944 BRIDGEWATER DR, 2B
FT ORANGE, FL 32129

Volusia County (386) 756-8953

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 Staudt's NPI number?

The NPI number for Kenneth Staudt is 1225258270. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Kenneth Staudt located?

Kenneth Staudt practices at 944 Bridgewater Dr #2b, Port Orange, FL 32129. The listed phone number is (386) 756-8953.

What is Kenneth Staudt's specialty?

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

Is Kenneth Staudt enrolled in Medicare?

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

What insurance does Kenneth Staudt accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kenneth Staudt 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 Staudt 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.