DR. KENNETH TANNENBAUM DDS
NPI 1861412934
Dentist - General Practice in Melville, NY

Q: What is Kenneth Tannenbaum's NPI number?

The NPI number for Kenneth Tannenbaum is 1861412934. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Kenneth Tannenbaum's specialty?

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

Active since July 20, 2006PECOS Enrolled

1 WILMINGTON DR, MELVILLE, NY 11747(631) 643-5079 Get Directions Write a Review

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

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About Dr. Kenneth Tannenbaum Dds NPPES

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

DR. KENNETH TANNENBAUM DDS (NPI 1861412934) is an individual general practice provider in Melville, New York, licensed in New York (038949) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861412934

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KENNETH TANNENBAUMCredential: DDS

Location Address1 WILMINGTON DRMelville, NY 11747-4013

Mailing Address1 Wilmington DrMelville, NY 11747-4013 · (631) 643-5079

Phone(631) 643-5079

Sole ProprietorYes

Enumeration DateJuly 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1861412934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 038949

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.

1 WILMINGTON DR, Melville, NY 11747

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life, Humana, UnitedHealthcare.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. Kenneth Tannenbaum 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 11747 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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 Kenneth Tannenbaum's NPI number?

The NPI number for Kenneth Tannenbaum is 1861412934. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Kenneth Tannenbaum located?

Kenneth Tannenbaum practices at 1 Wilmington Dr, Melville, NY 11747. The listed phone number is (631) 643-5079.

What is Kenneth Tannenbaum's specialty?

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

Is Kenneth Tannenbaum enrolled in Medicare?

Yes. Kenneth Tannenbaum is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Tannenbaum accept?

Health plans from Florida Combined Life, Humana and UnitedHealthcare list Kenneth Tannenbaum 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 Kenneth Tannenbaum 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.