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DR. SCOTT KENNEDY DMD
NPI 1780123356
Dentist - General Practice in Clifton, TX

Active since February 15, 2017PECOS Enrolled
302 S AVENUE Q, CLIFTON, TX 76634(254) 675-3518 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2022, Nov 15, 2017, Feb 15, 2017 (3 updates tracked since 2017).

About Dr. Scott Kennedy Dmd NPPES

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

DR. SCOTT KENNEDY DMD (NPI 1780123356) is an individual general practice provider in Clifton, Texas, licensed in Texas (33258) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1780123356
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SCOTT KENNEDYCredential: DMD
Location Address302 S AVENUE QClifton, TX 76634-1825
Mailing Address302 S Avenue QClifton, TX 76634-1825
Phone(254) 675-3518
Sole ProprietorYes
Enumeration DateFebruary 15, 2017
Last NPPES UpdateAugust 8, 20223 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
✔ NPI 1780123356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 33258
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
302 S AVENUE Q, Clifton, TX 76634
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Secondary Practice Locations 3

Location 1609 Elm AvenueWaco, TX 76704 · Phone (254) 754-0001
Location 2310 E Main StHamilton, TX 76531-1922 · Phone (254) 386-8957
Location 3121 N Rice StHamilton, TX 76531-1857 · Phone (254) 386-8957

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)

Dr. Scott Kennedy Dmd 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 76634 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Scott Kennedy's NPI number?

The NPI number for Scott Kennedy is 1780123356. It was assigned to this individual provider in the NPPES registry on February 15, 2017.

Where is Scott Kennedy located?

Scott Kennedy practices at 302 S Avenue Q, Clifton, TX 76634. The listed phone number is (254) 675-3518.

What is Scott Kennedy's specialty?

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

Is Scott Kennedy enrolled in Medicare?

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

What insurance does Scott Kennedy accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 13 other insurers list Scott 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 Scott Kennedy was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.