KENDRA PHAN DMD
NPI 1477243319
Dentist - General Practice in Warrenton, MO
About Kendra Phan Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDRA PHAN DMD (NPI 1477243319) is an individual general practice provider in Warrenton, Missouri, licensed in Missouri (2025018921) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kendra Phan Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kendra Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Warrenton, MO 63383
- Reassigned Medicare billing, Missouri enrollment
- 968 clinicians in this Medicare group
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 63383 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WARRENTON, MO 63383
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 Kendra Phan's NPI number?
The NPI number for Kendra Phan is 1477243319. It was assigned to this individual provider in the NPPES registry on May 12, 2023.
Where is Kendra Phan located?
Kendra Phan practices at 19515 Brune Pkwy, Warrenton, MO 63383. The listed phone number is (844) 853-8937.
What is Kendra Phan's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kendra Phan enrolled in Medicare?
Yes. Kendra Phan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kendra Phan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Phan reassigns Medicare benefits to Compass Health, Inc. (Warrenton, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kendra Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kendra Phan accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 6 other insurers list Kendra Phan 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 Kendra Phan was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Kendra Phan, DMD · NPI 1477243319
General Practice provider in Warrenton, Missouri. Individual provider, active in the CMS NPPES registry since May 12, 2023.
## Identity
- **NPI:** 1477243319 (Entity type: Individual)
- **Enumerated:** May 12, 2023
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 2025018921 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 19515 BRUNE PKWY, Warrenton, MO 63383-6505
- **Phone:** (844) 853-8937
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Compass Health, Inc. (NPI 1144415175, Warrenton, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477243319) · Data from the CMS NPPES public registry.