KENITRA KELLY DMD
NPI 1861872988
Dentist in The Villages, FL

Q: What is Kenitra Kelly's NPI number?

The NPI number for Kenitra Kelly is 1861872988. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Q: What is Kenitra Kelly's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kenitra Kelly was last updated on June 3, 2015. 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.

Active since June 03, 2015PECOS Enrolled

2943 TRAVERSE TRL, THE VILLAGES, FL 32163(352) 877-2461 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenitra Kelly Dmd NPPES

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

KENITRA KELLY DMD (NPI 1861872988) is an individual dentist in The Villages, Florida, licensed in Florida (DN21192) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861872988

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKENITRA KELLYCredential: DMD

Location Address2943 TRAVERSE TRLThe Villages, FL 32163-2017

Mailing Address2943 Traverse TrlThe Villages, FL 32163-2017 · (352) 877-2461

Phone(352) 877-2461

Sole ProprietorNo

Enumeration DateJune 3, 2015

✔ NPI 1861872988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN21192

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2943 TRAVERSE TRL, The Villages, FL 32163

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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)

Kenitra Kelly 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 32163 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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

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

COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA

Dentist (General Practice)

2943 TRAVERSE TRL
THE VILLAGES, FL 32163

Sumter County (352) 663-2612

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 Kenitra Kelly's NPI number?

The NPI number for Kenitra Kelly is 1861872988. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Where is Kenitra Kelly located?

Kenitra Kelly practices at 2943 Traverse Trl, The Villages, FL 32163. The listed phone number is (352) 877-2461.

What is Kenitra Kelly's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kenitra Kelly enrolled in Medicare?

Yes. Kenitra Kelly is registered in the Medicare PECOS enrollment system.

What insurance does Kenitra Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Kenitra Kelly 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 Kenitra Kelly was last updated on June 3, 2015. 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.