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DR. KENNETH G BOBERICK D.M.D.
NPI 1336370147
Dentist in Philadelphia, PA

Active since July 29, 2009PECOS Enrolled
3223 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-7708 Get Directions Write a Review

NPPES record last updated: July 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth G Boberick D.m.d. NPPES

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

DR. KENNETH G BOBERICK D.M.D. (NPI 1336370147) is an individual dentist in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS024677L) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336370147
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KENNETH G BOBERICKCredential: D.M.D.
Location Address3223 N BROAD STPhiladelphia, PA 19140-5007
Mailing Address3223 N Broad StPhiladelphia, PA 19140-5007 · (215) 707-7708
Phone(215) 707-7708
Sole ProprietorYes
Enumeration DateJuly 29, 2009
✔ NPI 1336370147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS024677L
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.
3223 N BROAD ST, Philadelphia, PA 19140
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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

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth G Boberick D.m.d. 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 19140 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

JOHN PAUL FRIEL JR. DDS
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-0115
LEONA SPERRAZZA DDS
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2995
DR. MARK WILLIAM ELICE DMD
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2890
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Anesthesiology
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2900
JIN XIA JIANG DMD
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2931
DR. ARMIN MEHDIZADEH-SHRIFI DDS
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (210) 552-2199
DR. BERNARD FEINSTEIN DDS
Dentist (Oral and Maxillofacial Surgery)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-8310
DR. LOUISE MARIE SKARULIS D.M.D.
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3593

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 Boberick's NPI number?

The NPI number for Kenneth Boberick is 1336370147. It was assigned to this individual provider in the NPPES registry on July 29, 2009.

Where is Kenneth Boberick located?

Kenneth Boberick practices at 3223 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-7708.

What is Kenneth Boberick's specialty?

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

Is Kenneth Boberick enrolled in Medicare?

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

What insurance does Kenneth Boberick accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Kenneth Boberick 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 Boberick was last updated on July 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.