DR. KENNEDY WOOD MERRITT D.D.S.
NPI 1285687947
Dentist in Glendale, AZ

Q: What is Kennedy Merritt's NPI number?

The NPI number for Kennedy Merritt is 1285687947. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Kennedy Merritt's specialty?

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

Q: Is Kennedy Merritt enrolled in Medicare?

No. Kennedy Merritt has opted out of Medicare through September 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kennedy Merritt was last updated on December 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 17, 2006Opted out of Medicare · through Sep 23, 2027

5855 W UTOPIA RD, MIDWESTERN UNIVERSITY DENTAL INSTITUTE, GLENDALE, AZ 85308(623) 806-7070(623) 537-6013 Get Directions Write a Review

NPPES record last updated: December 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2015, Nov 12, 2015 (2 updates tracked since 2015).

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About Dr. Kennedy Wood Merritt D.d.s. NPPES

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

DR. KENNEDY WOOD MERRITT D.D.S. (NPI 1285687947) is an individual dentist in Glendale, Arizona, licensed in Arizona (D009344) and active in the NPI registry since May 2006. He has opted out of Medicare through September 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285687947

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KENNEDY WOOD MERRITTCredential: D.D.S.

Location Address5855 W UTOPIA RD, MIDWESTERN UNIVERSITY DENTAL INSTITUTEGlendale, AZ 85308-5251

Mailing Address5855 W Utopia Rd, Midwestern University Dental InstituteGlendale, AZ 85308-5251 · (623) 537-6080 · Fax (623) 537-6013

Phone(623) 806-7070

Fax(623) 537-6013

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateDecember 9, 20152 updates tracked since enumeration

✔ NPI 1285687947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in AZ · D009344✔ Licensed in NM · DD1246

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.

5855 W UTOPIA RD, Glendale, AZ 85308

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Other Identifiers 1

Medicaid00089243NM

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Kennedy Wood Merritt D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 23, 2015 through September 23, 2027.

Opt-Out Effective DateSeptember 23, 2015

Opt-Out In Effect ThroughSeptember 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85308 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

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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.

DR. WILLIAM DAVID ELZA DMD

Dentist (General Practice)