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ANN DOUGLAS KENNEDY D.D.S
NPI 1700266236
Dentist - Pediatric Dentistry in Charlotte, NC

Active since May 29, 2015PECOS Enrolled
16607 RIVERSTONE WAY STE 300, CHARLOTTE, NC 28277(704) 544-5000 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 26, 2018, Mar 17, 2018, Jul 17, 2017 (3 updates tracked since 2017).

About Ann Douglas Kennedy D.d.s NPPES

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

ANN DOUGLAS KENNEDY D.D.S (NPI 1700266236) is an individual pediatric dentistry provider in Charlotte, North Carolina, licensed in North Carolina (10082) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700266236
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameANN DOUGLAS KENNEDYCredential: D.D.S
Location Address16607 RIVERSTONE WAY STE 300Charlotte, NC 28277
Mailing Address16607 Riverstone Way Ste 300Charlotte, NC 28277-5750 · (336) 209-2974
Phone(704) 544-5000
Sole ProprietorYes
Enumeration DateMay 29, 2015
Last NPPES UpdateNovember 26, 20183 updates tracked since enumeration
✔ NPI 1700266236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NC · 10082
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 10082 (NC)
16607 RIVERSTONE WAY STE 300, Charlotte, NC 28277
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1890 Summit Crossing PlGastonia, NC 28054-2192 · Phone (704) 874-0377
Location 23333 Burnet AveCincinnati, OH 45229-3026 · Phone (513) 636-4200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ann Douglas Kennedy D.d.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.

Medicare Billing Reassignment

Medicare enrollment records show Ann Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brookdale Hospital Medical Center
541 mi
General Acute Care Hospital
1 BROOKDALE PLZ STE 666
Brooklyn, NY 11212
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
NPI 1720028772 (718) 240-8352

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

SUZANNE BIRD PLLC
Dentist (General Practice)
16607 RIVERSTONE WAY STE 300
CHARLOTTE, NC 28277
Mecklenburg County (704) 544-5000
FIROOZEH SHEKARI DDS
Dentist (Pediatric Dentistry)
16607 RIVERSTONE WAY STE 300
CHARLOTTE, NC 28277
Mecklenburg County (704) 544-5000

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 Ann Kennedy's NPI number?

The NPI number for Ann Kennedy is 1700266236. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Where is Ann Kennedy located?

Ann Kennedy practices at 16607 Riverstone Way Ste 300, Charlotte, NC 28277. The listed phone number is (704) 544-5000.

What is Ann Kennedy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Ann Kennedy enrolled in Medicare?

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

Which organization bills Medicare for Ann Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ann Kennedy reassigns Medicare benefits to Brookdale Hospital Medical Center (Brooklyn, NY). The 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 Ann Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ann Kennedy accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of North Carolina and Humana and 1 other insurer list Ann 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 Ann Kennedy was last updated on November 26, 2018. 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.