DR. KEVIN M O'DEA D.D.S., M.S.
NPI 1649397480
Dentist - Endodontics in Roseville, CA

Active since March 25, 2007PECOS Enrolled
10 SIERRA GATE PLZ, SUITE 190, ROSEVILLE, CA 95678(916) 786-3303 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin M O'dea D.d.s., M.s. NPPES

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

DR. KEVIN M O'DEA D.D.S., M.S. (NPI 1649397480) is an individual endodontics provider in Roseville, California, licensed in California (39553) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649397480
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. KEVIN M O'DEACredential: D.D.S., M.S.
Location Address10 SIERRA GATE PLZ, SUITE 190Roseville, CA 95678-6645
Mailing Address10 Sierra Gate Plz, Suite 190Roseville, CA 95678-6645 · (916) 786-3303
Sole ProprietorNo
Enumeration DateMarch 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1649397480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in CA · 39553
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
10 SIERRA GATE PLZ, Roseville, CA 95678

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. Kevin M O'dea D.d.s., M.s. 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 95678 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 5

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

Dentist (General Practice)
10 SIERRA GATE PLZ
ROSEVILLE, CA 95678
Dentist (Endodontics)
10 SIERRA GATE PLZ, SUITE #190
ROSEVILLE, CA 95678
Dentist
10 SIERRA GATE PLZ, SUITE 170
ROSEVILLE, CA 95678
Dentist (Endodontics)
10 SIERRA GATE PLZ, SUITE #190
ROSEVILLE, CA 95678
Dentist (General Practice)
10 SIERRA GATE PLZ, SUITE 140
ROSEVILLE, CA 95678

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 Kevin O'dea's NPI number?

The NPI number for Kevin O'dea is 1649397480. It was assigned to this individual provider in the NPPES registry on March 25, 2007.

Where is Kevin O'dea located?

Kevin O'dea practices at 10 Sierra Gate Plz Suite 190, Roseville, CA 95678. The listed phone number is (916) 786-3303.

What is Kevin O'dea's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Kevin O'dea enrolled in Medicare?

Yes. Kevin O'dea is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin O'dea was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.