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Dr. Charles Michael Kenney , DDS

Dentist - General Practice β€’ Dallas, TX

Active NPI 1609016229 Individual Practitioner Male Practitioner
Practice location in NPPES

17721 Dallas Pkwy Ste 116
Dallas, TX 752877338

Call 4696851700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

17721 Dallas Pkwy Ste 116

Dallas, TX 752877338

Telephone 4696851700
Fax 8884916582
Organization at the Same NPPES Address or Phone
Cmkdds Facility NPI 1316452667

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Dallas, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Kenney has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Kenney as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Dallas and Texas

715 active clinicians are listed under Dentist - General Practice with a practice address in Dallas, TX (10,075 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dallas

0% of these 715 clinicians have the CMS telehealth indicator.

0.1% of these 715 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-07-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES TX 13988

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DENTIST

Medicare Enrollment ID

I20200720000713

Enrollment State Jurisdiction

TX

PECOS Control ID

2769757749

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1022 N Montclair Ave

Dallas, TX 752083517

Phone: 2149480206

1022 N Montclair Ave

Dallas, TX 752083517

Phone: 2149480206

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ‘€
Provider Name / Credentials Updated July 01, 2020

Recorded as CHARLES KENNEY, DDS

βœ…
NPI Profile Active November 13, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location November 13, 2017

Registered at 17721 DALLAS PKWY STE 116, DALLAS, TX 752877338 (Tel: 4696851700)

πŸ“
Updated Business Mailing Address November 13, 2017

Registered at 3328 GATWICK PL, FARMERS BRANCH, TX 752342248 (Tel: 2144780701)

πŸ‘€
Provider Name / Credentials Updated November 13, 2017

Recorded as C. KENNEY, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2017

Dentist (license number reported to NPPES: TX 13988)

βœ…
NPI Profile Active September 19, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 19, 2011

Registered at 1022 N MONTCLAIR AVE, DALLAS, TX 752083517 (Tel: 2149480206)

πŸ“
Business Mailing Address (Initial Record) September 19, 2011

Registered at 1022 N MONTCLAIR AVE, DALLAS, TX 752083517 (Tel: 2149480206)

πŸ‘€
Provider Name / Credentials (Initial Record) September 19, 2011

Recorded as C. KENNEY, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2011

Dentist (license number reported to NPPES: TX 13988)

🟒
Initial NPI Registration & Enumeration February 22, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609016229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2009
Last Update: July 01, 2020
Sole Proprietor: No

Other Dentist - General Practices in Dallas

All Dentist - General Practices in Dallas

Mailing Address

3328 Gatwick Pl

Farmers Branch, TX 752342248

Phone: 2144780701

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.