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DR. KENNETH SHERMAN ROLL D.D.S.
NPI 1912949934
Dentist - Oral and Maxillofacial Surgery in Kingston, NY

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
130 N FRONT ST, SUITE #8, KINGSTON, NY 12401(845) 338-8812(845) 338-9086 Get Directions Write a Review

NPPES record last updated: June 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Sherman Roll D.d.s. NPPES

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

DR. KENNETH SHERMAN ROLL D.D.S. (NPI 1912949934) is an individual oral and maxillofacial surgery provider in Kingston, New York, licensed in New York (033037) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of New York University College Of Dentistry (1977).

NPPES Registry Identity

NPI1912949934
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. KENNETH SHERMAN ROLLCredential: D.D.S.
Location Address130 N FRONT ST, SUITE #8Kingston, NY 12401-3741
Mailing Address130 N Front St, Suite #8Kingston, NY 12401-3741 · (845) 338-8812 · Fax (845) 338-9086
Phone(845) 338-8812
Fax(845) 338-9086
Sole ProprietorYes
Medical School CMSNew York University College Of DentistryGraduated 1977
Enumeration DateJune 12, 2006
Last NPPES UpdateJune 9, 2010
✔ NPI 1912949934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 033037
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
130 N FRONT ST, Kingston, NY 12401
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Other Identifiers 2

Medicare PIND4D311
Medicaid00636728NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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 and accepts Medicare assignment

Dr. Kenneth Sherman Roll D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032307939
PECOS Enrollment IDI20220907000323
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 12401 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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 3

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

DR. JOSEPH C. ERENA D.D.S.
Dentist (General Practice)
130 N FRONT ST
KINGSTON, NY 12401
Ulster County (845) 339-4702
DR. GARY E. LEINKRAM DMD
Dentist (General Practice)
130 N FRONT ST
KINGSTON, NY 12401
Ulster County (845) 331-6675
DR. ZYGMUNT DOROZYNSKI DDS
Dentist
130 N FRONT ST
KINGSTON, NY 12401
Ulster County (845) 331-6675

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 Roll's NPI number?

The NPI number for Kenneth Roll is 1912949934. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Kenneth Roll located?

Kenneth Roll practices at 130 N Front St Suite #8, Kingston, NY 12401. The listed phone number is (845) 338-8812.

What is Kenneth Roll's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kenneth Roll enrolled in Medicare?

Yes. Kenneth Roll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Roll accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Kenneth Roll 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 Roll was last updated on June 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.