DR. KELLY CRENNA DDS
NPI 1417308461
Dentist in Ann Arbor, MI

Q: What is Kelly Crenna's NPI number?

The NPI number for Kelly Crenna is 1417308461. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Q: What is Kelly Crenna'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 Kelly Crenna was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 30, 2016PECOS Enrolled

450 S WAGNER RD, ANN ARBOR, MI 48103(734) 668-8420 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 15, 2021, Jun 30, 2016 (2 updates tracked since 2016).

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About Dr. Kelly Crenna Dds NPPES

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

DR. KELLY CRENNA DDS (NPI 1417308461) is an individual dentist in Ann Arbor, Michigan, licensed in Michigan (2901022146) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417308461

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. KELLY CRENNACredential: DDS

Location Address450 S WAGNER RDAnn Arbor, MI 48103-1944

Mailing Address450 S Wagner RdAnn Arbor, MI 48103-1944 · (734) 668-8420

Phone(734) 668-8420

Sole ProprietorYes

Enumeration DateJune 30, 2016

Last NPPES UpdateJune 15, 20212 updates tracked since enumeration

NPPES CertifiedJune 15, 2021

✔ NPI 1417308461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 2901022146

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.

450 S WAGNER RD, Ann Arbor, MI 48103

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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 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. Kelly Crenna Dds 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 48103 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

ANN ARBOR DENTAL CARE, PLLC

Dentist (Prosthodontics)

450 S WAGNER RD
ANN ARBOR, MI 48103

Washtenaw County (734) 668-8420

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 Kelly Crenna's NPI number?

The NPI number for Kelly Crenna is 1417308461. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Kelly Crenna located?

Kelly Crenna practices at 450 S Wagner Rd, Ann Arbor, MI 48103. The listed phone number is (734) 668-8420.

What is Kelly Crenna's specialty?

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

Is Kelly Crenna enrolled in Medicare?

Yes. Kelly Crenna is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Crenna accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Michigan and Guardian and 2 other insurers list Kelly Crenna 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 Kelly Crenna was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.