KEVAN O'NEILL DDS, MDS
NPI 1528329372
Dentist in Providence, RI

Q: What is Kevan O'neill's NPI number?

The NPI number for Kevan O'neill is 1528329372. It was assigned to this individual provider in the NPPES registry on June 7, 2012.

Q: What is Kevan O'neill'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 Kevan O'neill was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 07, 2012PECOS Enrolled

2 DUDLEY ST, MOC 180, PROVIDENCE, RI 02905(401) 444-2299(401) 444-2924 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 16, 2023, Nov 29, 2022, Oct 5, 2021 (3 updates tracked since 2021).

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About Kevan O'neill Dds, Mds NPPES

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

KEVAN O'NEILL DDS, MDS (NPI 1528329372) is an individual dentist in Providence, Rhode Island, licensed in Ohio (30.024958) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1528329372

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameKEVAN O'NEILLCredential: DDS, MDS

Location Address2 DUDLEY ST, MOC 180Providence, RI 02905-3236

Mailing Address2 Dudley Street, Moc 180Providence, RI 02905 · (401) 444-2299 · Fax (401) 444-2924

Phone(401) 444-2299

Fax(401) 444-2924

Sole ProprietorNo

Enumeration DateJune 7, 2012

Last NPPES UpdateOctober 16, 20233 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1528329372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OH · 30.024958

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.

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 056003 (NY), DEN03205 (RI)

2 DUDLEY ST, Providence, RI 02905

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Secondary Practice Location 1

Location 11 Childrens PlzDayton, OH 45404-1815 · Phone (937) 641-4000 · Fax (937) 641-4500

Other Identifiers 1

Medicaid0462064OH

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevan O'neill Dds, Mds 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.

Medicare Billing Reassignment

Medicare enrollment records show Kevan O'neill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dayton Children's Specialty Physicians, Inc.

683 mi

Pediatrics

1 CHILDRENS PLZ
Dayton, OH 45404

Reassigned Medicare billing, Ohio enrollment
Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
479 clinicians in this Medicare group

NPI 1225192610 (937) 641-4000

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 02905 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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.

LARS STANGENBERG MD

Surgery (Vascular Surgery)

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 553-8318

ALICIA P CAPRIO

Student in an Organized Health Care Education/Training Program

2 DUDLEY ST
PROVIDENCE, RI 02905

Providence County (401) 274-1100

CHARLENE A TATE MD

Psychiatry & Neurology (Neurology)

2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905

Providence County (401) 444-6168

DR. PHILLIP R LUCAS M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

2 DUDLEY ST
PROVIDENCE, RI 02905

Providence County (401) 457-2102

J DONALD EASTON MD

Psychiatry & Neurology (Neurology)

2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905

Providence County (401) 444-6168

MRS. AMY POTTER PILOTTE APN, BC

Nurse Practitioner (Adult Health)

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 228-0595

NANCY ELEANOR STONE NP

Nurse Practitioner

2 DUDLEY ST
PROVIDENCE, RI 02905

Providence County (401) 453-4500

EDWARD J. MARCACCIO JR. MD

Surgery (Vascular Surgery)

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 553-8318

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 Kevan O'neill's NPI number?

The NPI number for Kevan O'neill is 1528329372. It was assigned to this individual provider in the NPPES registry on June 7, 2012.

Where is Kevan O'neill located?

Kevan O'neill practices at 2 Dudley St Moc 180, Providence, RI 02905. The listed phone number is (401) 444-2299.

What is Kevan O'neill's specialty?

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

Is Kevan O'neill enrolled in Medicare?

Yes. Kevan O'neill is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevan O'neill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevan O'neill reassigns Medicare benefits to Dayton Children's Specialty Physicians, Inc. (Dayton, OH). 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 Kevan O'neill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevan O'neill 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 and Delta Dental of Ohio list Kevan O'neill 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 Kevan O'neill was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.