DR. KENNETH ALTON PEAVY D.M.D.
NPI 1447394556
Dentist - Periodontics in Winston Salem, NC

Q: What is Kenneth Peavy's NPI number?

The NPI number for Kenneth Peavy is 1447394556. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Q: What is Kenneth Peavy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Peavy 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 February 20, 2007PECOS Enrolled

1400 WESTGATE CENTER DR, SUITE 204, WINSTON SALEM, NC 27103(336) 774-3001(336) 774-9161 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kenneth Alton Peavy D.m.d. NPPES

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

DR. KENNETH ALTON PEAVY D.M.D. (NPI 1447394556) is an individual periodontics provider in Winston Salem, North Carolina, licensed in North Carolina (5876) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447394556

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. KENNETH ALTON PEAVYCredential: D.M.D.

Location Address1400 WESTGATE CENTER DR, SUITE 204Winston Salem, NC 27103-3104

Mailing Address1400 Westgate Center Dr, Suite 204Winston Salem, NC 27103-3104 · (336) 774-3001 · Fax (336) 774-9161

Phone(336) 774-3001

Fax(336) 774-9161

Sole ProprietorNo

Enumeration DateFebruary 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1447394556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in NC · 5876

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1400 WESTGATE CENTER DR, Winston Salem, NC 27103

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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 Alton Peavy 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 27103 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 7

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

BARIUM SPRINGS HOME FOR CHILDREN

Community/Behavioral Health

1400 WESTGATE CENTER DR, STE 100
WINSTON SALEM, NC 27103

Forsyth County (336) 837-6171

DR. ROMI MERIDITH FARBER DDS

Dentist (Endodontics)

1400 WESTGATE CENTER DR, GREENTREE CENTRE 1, SUITE 208
WINSTON SALEM, NC 27103

Forsyth County (336) 765-1933

CORNERSTONE HEALTH CARE

Family Medicine

1400 WESTGATE CENTER DR, SUITE 140
WINSTON SALEM, NC 27103

Forsyth County (336) 802-2536

MS. JAMIE DEAL SCHAAF PA-C

Physician Assistant

1400 WESTGATE CENTER DR, SUITE 200
WINSTON SALEM, NC 27103

Forsyth County (336) 774-8636

MRS. GAYLE ANN BARCIO RDH

Dental Hygienist

1400 WESTGATE CENTER DR, SUITE 204
WINSTON SALEM, NC 27103

Forsyth County (336) 774-3001

DEBBIE ADAMS HAUSER PA-C

Physician Assistant (Medical)

1400 WESTGATE CENTER DR
WINSTON-SALEM, NC 27103

Forsyth County (336) 774-8636

CHRISTINE A YUENGEL-BIENENFELD M.D.

Dermatology

1400 WESTGATE CENTER DR, SUITE 200
WINSTON-SALEM, NC 27103

Forsyth County (336) 774-8636

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 Peavy's NPI number?

The NPI number for Kenneth Peavy is 1447394556. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Kenneth Peavy located?

Kenneth Peavy practices at 1400 Westgate Center Dr Suite 204, Winston Salem, NC 27103. The listed phone number is (336) 774-3001.

What is Kenneth Peavy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Kenneth Peavy enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kenneth Peavy 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.