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DR. ALEXIS KENNEDY DMD
NPI 1679343677
Dentist - Prosthodontics in Avondale, AZ

Active since January 02, 2024PECOS Enrolled
9915 W MCDOWELL RD STE 106, AVONDALE, AZ 85392(623) 907-4562 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2024, Aug 9, 2024, Jan 2, 2024 (3 updates tracked since 2024).

About Dr. Alexis Kennedy Dmd NPPES

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

DR. ALEXIS KENNEDY DMD (NPI 1679343677) is an individual prosthodontics provider in Avondale, Arizona, licensed in Arizona (D011600) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Paradise Valley.

NPPES Registry Identity

NPI1679343677
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameDR. ALEXIS KENNEDYCredential: DMD
Location Address9915 W MCDOWELL RD STE 106Avondale, AZ 85392-4897
Mailing Address9915 W Mcdowell Rd Ste 106Avondale, AZ 85392-4897
Phone(623) 907-4562
Sole ProprietorYes
Enumeration DateJanuary 2, 2024
Last NPPES UpdateOctober 7, 20243 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1679343677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in AZ · D011600
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
9915 W MCDOWELL RD STE 106, Avondale, AZ 85392
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Other Names 1

Former Name (1)Alexis Pawlak

Secondary Practice Location 1

Location 110555 N Tatum Blvd Ste A104Paradise Valley, AZ 85253-1096 · Phone (480) 806-1223

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life 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. Alexis Kennedy Dmd 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 85392 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 2

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

DR. KYLA BOYD D.M.D.
Dentist
9915 W MCDOWELL RD STE 106
AVONDALE, AZ 85392
Maricopa County (701) 391-6149
DR. HARLEEN HANSEN DMD
Dentist
9915 W MCDOWELL RD STE 106
AVONDALE, AZ 85392
Maricopa County (623) 907-4562

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 Alexis Kennedy's NPI number?

The NPI number for Alexis Kennedy is 1679343677. It was assigned to this individual provider in the NPPES registry on January 2, 2024. The provider is also known as Alexis Pawlak.

Where is Alexis Kennedy located?

Alexis Kennedy practices at 9915 W Mcdowell Rd Ste 106, Avondale, AZ 85392. The listed phone number is (623) 907-4562.

What is Alexis Kennedy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Alexis Kennedy enrolled in Medicare?

Yes. Alexis Kennedy is registered in the Medicare PECOS enrollment system.

What insurance does Alexis Kennedy accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Alexis Kennedy 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 Alexis Kennedy was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.