DR. KENDRA E. NOVICK D.D.S.
NPI 1508059700
Dentist - General Practice in Reston, VA

Q: What is Kendra Novick's NPI number?

The NPI number for Kendra Novick is 1508059700. It was assigned to this individual provider in the NPPES registry on August 21, 2007.

Q: What is Kendra Novick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Kendra Novick enrolled in Medicare?

No. Kendra Novick has opted out of Medicare through June 9, 2028. 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 Kendra Novick was last updated on August 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 August 21, 2007Opted out of Medicare · through Jun 9, 2028

11325 SUNSET HILLS RD, RESTON, VA 20190(703) 437-8811(703) 471-5978 Get Directions Write a Review

NPPES record last updated: August 21, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kendra E. Novick D.d.s. NPPES

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

DR. KENDRA E. NOVICK D.D.S. (NPI 1508059700) is an individual general practice provider in Reston, Virginia, licensed in Virginia (8752) and active in the NPI registry since August 2007. She has opted out of Medicare through June 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508059700

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KENDRA E. NOVICKCredential: D.D.S.

Location Address11325 SUNSET HILLS RDReston, VA 20190-5205

Mailing Address11325 Sunset Hills RdReston, VA 20190-5205 · (703) 437-8811 · Fax (703) 471-5978

Phone(703) 437-8811

Fax(703) 471-5978

Sole ProprietorNo

Enumeration DateAugust 21, 2007

✔ NPI 1508059700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in VA · 8752

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

11325 SUNSET HILLS RD, Reston, VA 20190

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kendra E. Novick 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 June 9, 2014 through June 9, 2028.

Opt-Out Effective DateJune 9, 2014

Opt-Out In Effect ThroughJune 9, 2028Opt-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 20190 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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 9

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

DR. LUIS J. MARTINEZ D.D.S.

Dentist (Prosthodontics)