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DR. NICHOLE MCKENNA DDS
NPI 1740629864
Dentist - Dental Public Health in Oakland, CA

Active since June 21, 2013PECOS Enrolled
2950 INTERNATIONAL BLVD, OAKLAND, CA 94601(415) 621-8056 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nichole Mckenna Dds NPPES

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

DR. NICHOLE MCKENNA DDS (NPI 1740629864) is an individual dental public health provider in Oakland, California, licensed in California (63781) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740629864
Entity TypeIndividualFemale
Primary Taxonomy1223D0001X
Provider Legal NameDR. NICHOLE MCKENNACredential: DDS
Location Address2950 INTERNATIONAL BLVDOakland, CA 94601-2228
Mailing Address11670 Atwood RdAuburn, CA 95603-9522
Phone(415) 621-8056
Sole ProprietorNo
Enumeration DateJune 21, 2013
Last NPPES UpdateNovember 19, 2014
✔ NPI 1740629864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in CA · 63781
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
2950 INTERNATIONAL BLVD, Oakland, CA 94601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Nichole Mckenna 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 94601 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 20

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

KATHY TUTINO
Dental Hygienist
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 535-4450
COLLEEN MCCULLOUGH FNP
Nurse Practitioner (Family)
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 535-4400
HEIDY SOFIA RAMOS FERNANDEZ RN
Registered Nurse
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 434-5300
SARAH GILSTRAP
Registered Nurse
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 535-4410
CASEY JAKE SMITH
Internal Medicine
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (505) 862-2029
SIMONE MARIE GARRIGUES M.A., L.C.S.W.
Social Worker (Clinical)
2950 INTERNATIONAL BLVD, NATIVE AMERICAN HEALTH CENTER
OAKLAND, CA 94601
Alameda County (510) 535-4400
CRYSTAL HUANG MD
Family Medicine
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 535-4400
KYOUNG WON HAN DDS
Dentist
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 485-5925

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 Nichole Mckenna's NPI number?

The NPI number for Nichole Mckenna is 1740629864. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Where is Nichole Mckenna located?

Nichole Mckenna practices at 2950 International Blvd, Oakland, CA 94601. The listed phone number is (415) 621-8056.

What is Nichole Mckenna's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Nichole Mckenna enrolled in Medicare?

Yes. Nichole Mckenna is registered in the Medicare PECOS enrollment system.

What insurance does Nichole Mckenna accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Nichole Mckenna 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 Nichole Mckenna was last updated on November 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.