DR. JONATHAN J KOLON DDS
NPI 1225239171
Dentist - General Practice in Santa Clara, UT

Q: What is Jonathan Kolon's NPI number?

The NPI number for Jonathan Kolon is 1225239171. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Q: What is Jonathan Kolon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Kolon was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 29, 2007PECOS Enrolled

3176 SANTA CLARA DRIVE, SANTA CLARA, UT 84765(435) 615-6819(435) 658-0041 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2020, Sep 21, 2017 (2 updates tracked since 2017).

On this page

About Dr. Jonathan J Kolon Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN J KOLON DDS (NPI 1225239171) is an individual general practice provider in Santa Clara, Utah, licensed in Utah (4994088) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1225239171

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JONATHAN J KOLONCredential: DDS

Location Address3176 SANTA CLARA DRIVESanta Clara, UT 84765

Mailing Address3176 Santa Clara DrSanta Clara, UT 84765-5338 · (435) 615-6819

Phone(435) 615-6819

Fax(435) 658-0041

Sole ProprietorNo

Enumeration DateMay 29, 2007

Last NPPES UpdateSeptember 28, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2020

✔ NPI 1225239171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 4994088

Definition

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.

3176 SANTA CLARA DRIVE, Santa Clara, UT 84765

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Secondary Practice Location 1

Location 1Naval Medicasl Center PortsmouthPortsmouth, VA 23708 · Phone (757) 959-2711

Other Identifiers 1

Other201588686UT · Fein

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan J Kolon Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84765 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Kolon's NPI number?

The NPI number for Jonathan Kolon is 1225239171. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Jonathan Kolon located?

Jonathan Kolon practices at 3176 Santa Clara Drive, Santa Clara, UT 84765. The listed phone number is (435) 615-6819.

What is Jonathan Kolon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jonathan Kolon enrolled in Medicare?

Yes. Jonathan Kolon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Kolon was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.