Kelly Kennedy, D.D.S.
Kelly Kennedy, D.D.S. is a provider specialising in Oral & Maxillofacial Surgery (D.M.D.) in Columbus, OH, registered under NPI 1568673366. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 305 W 12TH AVE DENTAL FACULTY PRACTICE, Columbus, OH 43210. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 30.022717 | OH | Oral & Maxillofacial Surgery (D.M.D.) primary |
| 30-022717 | OH | Oral and Maxillofacial Surgery (Dentist) |
| 2322 | OH | Oral and Maxillofacial Surgery (Dentist) |
This provider holds licence 30.022717 issued in OH. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Maxillofacial Surgery
- PAC ID
- 7911062955
- Enrollment ID
- I20090209000081
Medicare enrolment is recorded as approved under the provider type Practitioner - Maxillofacial Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Oral & Maxillofacial Surgery covers
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. NUCC Health Care Provider Taxonomy, code 204E00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 30.022717 | OH | primary |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery | 30-022717 | OH | |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery | 2322 | OH |
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.
| NPI | 1568673366 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 24, 2007 |
| Last updated | Dec 19, 2019 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | D.D.S. |
| Practice address |
305 W 12TH AVE DENTAL FACULTY PRACTICE Columbus, OH 43210 (614) 292-5574 Fax (614) 292-9472 |
Number check
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 | 5 | 6 | 8 | 6 | 7 | 3 | 3 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 3 | 8 | 3 | 7 | 6 | 3 | 3 |
Sum = 64 · next multiple of 10 = 70 · 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.