DR. KENNETH LEE TANKERSLEY (D.D.S AND M.D) – Oral and Maxillofacial Surgery (Dentist), NPI 1184607731
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. KENNETH LEE TANKERSLEY (D.D.S AND M.D)
716, Denbigh Boulevard, Windsor Great Park, Newport News, Newport News City, Virginia, 23608, United States
NEWPORT NEWS, VA 236084414
Phone: (757) 874-6501
Type: Location
109 THORPES PARISH
WILLIAMSBURG, VA 231855119
Phone: (757) 345-6979
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $385.
Total Amount is formed as General ($385) + Research ($0) + Ownership ($0) = $385.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Straumann USA LLC ($216).
Total Amount
$385
General + Research + Ownership
Payments
6
Total payment records
General Amount
$385
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Straumann USA LLC | $216 |
| ZIMVIE INC. | $128 |
| Nobel Biocare USA | $41 |
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: 2012-02-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20120209000777 | I | Maxillofacial Surgery | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 23608)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA |
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