Individual provider

Jared Kenney, DDS

Oral and Maxillofacial Surgery (Dentist) Medicare enrolled

Jared Kenney, DDS is a provider specialising in Oral and Maxillofacial Surgery (Dentist) in Maricopa, AZ, registered under NPI 1104238716.

Getting there

The practice address on file is 21300 N JOHN WAYNE PKWY STE 114, Maricopa, AZ 85139. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

21300 N JOHN WAYNE PKWY STE 114, Maricopa, AZ 85139 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
D009960 AZ Oral and Maxillofacial Surgery (Dentist) primary

This provider holds licence D009960 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Oral Surgery
PAC ID
8729312491

Medicare enrolment is recorded as approved under the provider type Practitioner - Oral Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Oral and Maxillofacial Surgery covers

The specialty of dentistry which includes 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. NUCC Health Care Provider Taxonomy, code 1223S0112X
Dental Providers Dentist Oral and Maxillofacial Surgery

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104238716 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 30, 2014
Last updatedDec 28, 2024
StatusActive
Sole proprietorNo
CredentialDDS
Practice address 21300 N JOHN WAYNE PKWY STE 114
Maricopa, AZ 85139
(520) 231-6700
Fax (520) 208-9066
Mailing address 3232 E REDWOOD LN
Phoenix, AZ 85048
This record was updated on Dec 28, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1104238716 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 2 3 8 7 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 4 3 7 7 2

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104238716?
NPI 1104238716 is the National Provider Identifier assigned to Jared Kenney, DDS in Maricopa, AZ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Oral and Maxillofacial Surgery cover?
The specialty of dentistry which includes 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.
How do I contact Jared Kenney, DDS?
The phone number on file with NPPES is (520) 231-6700, last updated Dec 28, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jared Kenney, DDS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104238716 a valid number?
Yes. 1104238716 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.