SEAN KENNEDY DDS
NPI 1699706804
Dentist - General Practice in Shawnee Mission, KS

Q: What is Sean Kennedy's NPI number?

The NPI number for Sean Kennedy is 1699706804. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Sean Kennedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sean Kennedy 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.

Active since July 05, 2006PECOS Enrolled

7450 QUIVIRA RD, SHAWNEE MISSION, KS 66216(913) 248-8880 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Sean Kennedy Dds NPPES

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

SEAN KENNEDY DDS (NPI 1699706804) is an individual general practice provider in Shawnee Mission, Kansas, licensed in Oklahoma (5484) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699706804

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameSEAN KENNEDYCredential: DDS

Location Address7450 QUIVIRA RDShawnee Mission, KS 66216-3526

Mailing Address555 W Benjamin Holt Dr, Building BStockton, CA 95207-3839 · (209) 476-4700 · Fax (209) 478-6890

Phone(913) 248-8880

Sole ProprietorNo

Enumeration DateJuly 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1699706804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OK · 5484

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.

7450 QUIVIRA RD, Shawnee Mission, KS 66216

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Sean Kennedy 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 66216 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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 15

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

JENNIFER SUE TERRIEN PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)