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DR. MCKELL WILLIAM PERRY D.D.S.
NPI 1679655849
Dentist - General Practice in Novato, CA

Active since October 19, 2006Opted out of Medicare · through Jan 6, 2028
190 SAN MARIN DR, SUITE A, NOVATO, CA 94945(415) 897-6877(415) 897-5437 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. Mckell William Perry D.d.s. NPPES

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

DR. MCKELL WILLIAM PERRY D.D.S. (NPI 1679655849) is an individual general practice provider in Novato, California, licensed in California (37894) and active in the NPI registry since October 2006. He has opted out of Medicare through January 6, 2028.

NPPES Registry Identity

NPI1679655849
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MCKELL WILLIAM PERRYCredential: D.D.S.
Location Address190 SAN MARIN DR, SUITE ANovato, CA 94945-1218
Mailing Address190 San Marin Dr, Suite ANovato, CA 94945-1218 · (415) 897-6877 · Fax (415) 897-5437
Phone(415) 897-6877
Fax(415) 897-5437
Sole ProprietorYes
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679655849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 37894
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.
190 SAN MARIN DR, Novato, CA 94945
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mckell William Perry D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 6, 2016 through January 6, 2028.

Opt-Out Effective DateJanuary 6, 2016
Opt-Out In Effect ThroughJanuary 6, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94945 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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 4

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

DR. JENNIFER DOLE
Dentist (General Practice)
190 SAN MARIN DR, SUITE B
NOVATO, CA 94945
Marin County (415) 898-6042
DR. ANNE-LI KNUUT DDS
Dentist (Endodontics)
190 SAN MARIN DR, SUITE C
NOVATO, CA 94945
Marin County (415) 898-7093
DR. ERIC ROYALL TYLER D.D.S.
Dentist (General Practice)
190 SAN MARIN DR, SUITE A
NOVATO, CA 94945
Marin County (415) 897-6877
DRS. GAST AND GRIFFIN
Dentist (Orthodontics and Dentofacial Orthopedics)
190 SAN MARIN DR
NOVATO, CA 94945
Marin County (415) 892-0736

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 Mckell Perry's NPI number?

The NPI number for Mckell Perry is 1679655849. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Mckell Perry located?

Mckell Perry practices at 190 San Marin Dr Suite A, Novato, CA 94945. The listed phone number is (415) 897-6877.

What is Mckell Perry's specialty?

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

Is Mckell Perry enrolled in Medicare?

No. Mckell Perry has opted out of Medicare through January 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mckell Perry 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.