DR. NICHOLAS RYAN KENNING (D.D.S., M.D.) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1497162358
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
81 ORAL SURGERY in MN
Provider Addresses for DR. NICHOLAS RYAN KENNING (D.D.S., M.D.)
3950 VETERANS DR STE 100
SAINT CLOUD, MN 563033424
Phone: (320) 252-3611
Fax: (320) 252-7574
Type: Mailing
200 1st St SW
Rochester, MN 55905
Phone: (507) 284-2511
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $276.
Total Amount is formed as General ($276) + Research ($0) + Ownership ($0) = $276.
Last reported payment date: 2024-04-11 • Largest payer in this snapshot: Straumann USA LLC ($233).
Total Amount
$276
General + Research + Ownership
Payments
3
Total payment records
General Amount
$276
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Straumann USA LLC | $233 |
| ZIMVIE INC. | $23 |
| Dentsply Sirona Inc | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-09-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (987 days ago).
Enrollment records
1
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140910001631 | I | Oral Surgery | MN | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E N T I S T | MN | |
| D E N T I S T | MN | |
| D E N T I S T | MN | |
| Maxillofacial Surgery, Dentist | IL | |
| - | MN | |
| Dentist, Oral Surgery | MN |
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