KELLY ANN ROTH D.D.S.
NPI 1104837111
Dentist - General Practice in North Canton, OH
NPI Status: Active since August 11, 2006
Contact Information
1515 PORTAGE ST NW
SUITE I
NORTH CANTON, OH
ZIP 44720
Phone: (330) 494-0646
Fax: (330) 494-9181
- Individual
- Female
- Dentist
- General Practice
- PECOS Enrolled
About KELLY ROTH
This page provides the complete NPI Profile along with additional information for Kelly Roth, a provider established in North Canton, Ohio with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1104837111 assigned on August 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 20709 (OH). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1104837111
- Provider Name
- KELLY ANN ROTH D.D.S.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1515 PORTAGE ST NW SUITE I NORTH CANTON, OH 44720
- Location Phone
- (330) 494-0646
- Location Fax
- (330) 494-9181
- Mailing Address
- 7077 PEBBLESTONE AVE NW NORTH CANTON, OH 44720
- Mailing Phone
- (330) 433-9070
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-11-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Kelly Roth is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 20709
- License State
- OH
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Kelly Roth is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 44720 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for KELLY ANN ROTH D.D.S.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 8 | 3 | 7 | 1 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 16 | 3 | 14 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 6 + 3 + 1 + 4 + 1 + 2 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1104837111 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720092745 | DR. LELAND QUINTEN CAMPBELL II D.D.S. Individual | Dentist | 1515 PORTAGE ST NW SUITE D NORTH CANTON, OH 44720 (330) 494-3201 |
| 1497769863 | DR. LAWRENCE M COHEN DPM Individual | Podiatrist | 1515 PORTAGE ST NW SUITE A NORTH CANTON, OH 44720 (330) 494-4949 |
| 1134215767 | DR. WILLIAM KONRAD NEIDERT JR. D.C. Individual | Chiropractor (Nutrition) | 1515 PORTAGE ST NW SUITE C NORTH CANTON, OH 44720 (330) 499-1518 |
| 1740360593 | DR. MICHAEL DOUGLAS BABICS D.D.S. Individual | Dentist (General Practice) | 1515 PORTAGE ST NW SUITE H NORTH CANTON, OH 44720 (330) 494-8508 |
| 1821281684 | LAWRENCE M. COHEN, DPM,INC Organization | Podiatrist (Foot & Ankle Surgery) | 1515 PORTAGE ST NW SUITE A NORTH CANTON, OH 44720 (330) 494-4949 |
| 1295919785 | DR. BRENT A VANHALA DDS Individual | Dentist | 1515 PORTAGE ST NW NORTH CANTON, OH 44720 (330) 494-0646 |
| 1386828879 | HENRY A VANHALA DDS Individual | Dentist (General Practice) | 1515 PORTAGE ST NW NORTH CANTON, OH 44720 (330) 494-0646 |
| 1851401590 | HENRY A VAN HALA DDS INC Organization | Dentist (General Practice) | 1515 PORTAGE ST NW NORTH CANTON, OH 44720 (330) 494-0646 |
| 1043307267 | NEIDERT CHIROPRACTIC, INC. Organization | Chiropractor (Nutrition) | 1515 PORTAGE ST NW SUITE C NORTH CANTON, OH 44720 (330) 499-1518 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104837111, enumerated in the NPI registry as an "individual" on August 11, 2006
The provider is located at 1515 Portage St Nw Suite I North Canton, Oh 44720 and the phone number is (330) 494-0646
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $84.72 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.