PRETY AMOM DDS
NPI 1255205464
Dentist - General Practice in Covington, KY

Q: What is Prety Amom's NPI number?

The NPI number for Prety Amom is 1255205464. It was assigned to this individual provider in the NPPES registry on October 1, 2025.

Q: What is Prety Amom'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 Prety Amom was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 October 01, 2025PECOS Enrolled

1401 MADISON AVE, COVINGTON, KY 41011(859) 655-6100(859) 655-6179 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Prety Amom Dds NPPES

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

PRETY AMOM DDS (NPI 1255205464) is an individual general practice provider in Covington, Kentucky, licensed in Kentucky (D-00071) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Dentistry (2025).

NPPES Registry Identity

NPI1255205464

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NamePRETY AMOMCredential: DDS

Location Address1401 MADISON AVECovington, KY 41011-3313

Mailing Address215 E 11th StNewport, KY 41071-2203 · (859) 655-6100 · Fax (859) 655-6241

Phone(859) 655-6100

Fax(859) 655-6179

Sole ProprietorNo

Medical School CMSOhio State University College Of DentistryGraduated 2025

Enumeration DateOctober 1, 2025

Last NPPES UpdateOctober 14, 2025

NPPES CertifiedOctober 14, 2025

✔ NPI 1255205464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in KY · D-00071

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.

1401 MADISON AVE, Covington, KY 41011

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prety Amom Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416447727

PECOS Enrollment IDI20251105003255

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.

Medicare Billing Reassignment

Medicare enrollment records show Prety Amom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthpoint Family Care Inc

1.4 mi

Federally Qualified Health Center (FQHC)

215 E 11TH ST
Newport, KY 41071

Reassigned Medicare billing, Kentucky enrollment
69 clinicians in this Medicare group

NPI 1508889742 (859) 655-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41011 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 20

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

MS. VIRGINIA BROOKE FAULKNER DMD

Dentist