DR. KENNETH CLARK PRIDDY DDS
NPI 1598127672
Dentist - Oral and Maxillofacial Surgery in Wentzville, MO

Q: What is Kenneth Priddy's NPI number?

The NPI number for Kenneth Priddy is 1598127672. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Q: What is Kenneth Priddy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Priddy was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 28, 2016PECOS Enrolled

853 MEDICAL DR STE 115, WENTZVILLE, MO 63385(636) 887-3100(636) 887-3102 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 24, 2018, Jul 13, 2017, Mar 28, 2016 (3 updates tracked since 2016).

On this page

About Dr. Kenneth Clark Priddy Dds NPPES

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

DR. KENNETH CLARK PRIDDY DDS (NPI 1598127672) is an individual oral and maxillofacial surgery provider in Wentzville, Missouri, licensed in Missouri (2021048521) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598127672

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. KENNETH CLARK PRIDDYCredential: DDS

Location Address853 MEDICAL DR STE 115Wentzville, MO 63385-3825

Mailing Address1 Mid Rivers Mall Dr Ste 310Saint Peters, MO 63376-4323 · (636) 928-7217 · Fax (636) 397-0223

Phone(636) 887-3100

Fax(636) 887-3102

Sole ProprietorNo

Enumeration DateMarch 28, 2016

Last NPPES UpdateJune 28, 20223 updates tracked since enumeration

NPPES CertifiedJune 28, 2022

✔ NPI 1598127672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in MO · 2021048521✔ Licensed in KY · 9781

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

853 MEDICAL DR STE 115, Wentzville, MO 63385

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Kenneth Clark Priddy 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 63385 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

MISSOURI CENTER FOR ORAL SURGERY AND IMPLANTS LLC

Dentist (Oral and Maxillofacial Surgery)

853 MEDICAL DR STE 115
WENTZVILLE, MO 63385

St. Charles County (636) 887-3100

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 Priddy's NPI number?

The NPI number for Kenneth Priddy is 1598127672. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Kenneth Priddy located?

Kenneth Priddy practices at 853 Medical Dr Ste 115, Wentzville, MO 63385. The listed phone number is (636) 887-3100.

What is Kenneth Priddy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kenneth Priddy enrolled in Medicare?

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

What insurance does Kenneth Priddy accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 6 other insurers list Kenneth Priddy 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 Kenneth Priddy was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.