KDP PLLC
NPI 1699331421
Dentist - General Practice in Kingston, TN
About Kdp Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KDP PLLC (NPI 1699331421) is a healthcare organization registered as a general practice in Kingston, Tennessee and active in the NPI registry since May 2019. The organization lists Rajiv Bery, Dentist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kdp Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Kdp PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kdp PLLC's NPI number?
The NPI number for Kdp PLLC is 1699331421. It was assigned to this organization in the NPPES registry on May 16, 2019.
Where is Kdp PLLC located?
Kdp PLLC is located at 1212 N Kentucky St, Kingston, TN 37763. The listed phone number is (865) 717-3586.
What is Kdp PLLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kdp PLLC enrolled in Medicare?
Yes. Kdp PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kdp PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dentist, reassign their Medicare billing to Kdp PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kdp PLLC accept?
Health plans from DentaQuest Insurance Company Inc- TN and UnitedHealthcare list Kdp PLLC 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 Kdp PLLC was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kdp Pllc · NPI 1699331421
General Practice organization in Kingston, Tennessee. Organization record, active in the CMS NPPES registry since May 16, 2019.
## Identity
- **NPI:** 1699331421 (Entity type: Organization)
- **Enumerated:** May 16, 2019
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Organization subpart:** No
- **Authorized official:** Rajiv Bery, DENTIST
## Practice location
- **Address:** 1212 N KENTUCKY ST, Kingston, TN 37763-2328
- **Phone:** (865) 717-3586
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Dentist) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1699331421) · Data from the CMS NPPES public registry.