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CHARLES MICHAEL KENNEY DDS
NPI 1609016229
Dentist - General Practice in Dallas, TX

Active since February 22, 2009PECOS Enrolled
17721 DALLAS PKWY STE 116, DALLAS, TX 75287(469) 685-1700(888) 491-6582 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2020, Mar 17, 2018, Nov 13, 2017 (3 updates tracked since 2017).

About Charles Michael Kenney Dds NPPES

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

CHARLES MICHAEL KENNEY DDS (NPI 1609016229) is an individual general practice provider in Dallas, Texas, licensed in Texas (13988) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1609016229
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCHARLES MICHAEL KENNEYCredential: DDS
Location Address17721 DALLAS PKWY STE 116Dallas, TX 75287-7338
Mailing Address3328 Gatwick PlFarmers Branch, TX 75234-2248 · (214) 478-0701
Phone(469) 685-1700
Fax(888) 491-6582
Sole ProprietorNo
Enumeration DateFebruary 22, 2009
Last NPPES UpdateJuly 1, 20203 updates tracked since enumeration
NPPES CertifiedJuly 1, 2020
✔ NPI 1609016229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 13988
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.
17721 DALLAS PKWY STE 116, Dallas, TX 75287
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Secondary Practice Location 1

Location 11022 N Montclair AveDallas, TX 75208-3517 · Phone (214) 948-0206 · Fax (214) 484-7118

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Michael Kenney 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 75287 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

CMKDDS
Dentist
17721 DALLAS PKWY STE 116
DALLAS, TX 75287
Collin County (469) 685-1700

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 Charles Kenney's NPI number?

The NPI number for Charles Kenney is 1609016229. It was assigned to this individual provider in the NPPES registry on February 22, 2009.

Where is Charles Kenney located?

Charles Kenney practices at 17721 Dallas Pkwy Ste 116, Dallas, TX 75287. The listed phone number is (469) 685-1700.

What is Charles Kenney's specialty?

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

Is Charles Kenney enrolled in Medicare?

Yes. Charles Kenney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Kenney was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.