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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KOUA XIONG DDS
NPI 1417278292
Dentist - General Practice in Rice Lake, WI

Active since June 16, 2010PECOS Enrolled
1501 W STOUT ST, RICE LAKE, WI 54868(715) 236-8900(715) 236-7907 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 28, 2026, Jun 22, 2023 (2 updates tracked since 2023).

About Koua Xiong Dds NPPES

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

KOUA XIONG DDS (NPI 1417278292) is an individual general practice provider in Rice Lake, Wisconsin, licensed in Wisconsin (6514) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417278292
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKOUA XIONGCredential: DDS
Location Address1501 W STOUT STRice Lake, WI 54868-5001
Mailing AddressPo Box 18298Palatine, IL 60055-8298 · (888) 533-2684 · Fax (715) 502-5100
Phone(715) 236-8900
Fax(715) 236-7907
Sole ProprietorNo
Enumeration DateJune 16, 2010
Last NPPES UpdateAugust 28, 20262 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1417278292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 6514
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.
1501 W STOUT ST, Rice Lake, WI 54868
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc., Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Koua Xiong 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 54868 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRADEEP GADE
Dentist
1501 W STOUT ST
RICE LAKE, WI 54868
Barron County (412) 689-2172
KATHERINE L. SIMETH D.D.S.
Dentist (General Practice)
1501 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8900
DR. KHUSHBOO ARORA
Dentist
1501 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8900
KYLE P. EVERSON D.D.S.
Dentist (General Practice)
1501 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8900
ERIN ANN NOLIN FNP
Nurse Practitioner (Family)
1501 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8100
MRS. JESSICA SUE LUSSON RDH
Dental Hygienist
1501 W STOUT ST
RICE LAKE, WI 54868
Barron County (714) 236-8900
JOHANNY TORO
Dentist (General Practice)
1501 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8900
MANMEET SANDHU
Dentist (General Practice)
1501 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8900

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 Koua Xiong's NPI number?

The NPI number for Koua Xiong is 1417278292. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Koua Xiong located?

Koua Xiong practices at 1501 W Stout St, Rice Lake, WI 54868. The listed phone number is (715) 236-8900.

What is Koua Xiong's specialty?

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

Is Koua Xiong enrolled in Medicare?

Yes. Koua Xiong is registered in the Medicare PECOS enrollment system.

What insurance does Koua Xiong accept?

Health plans from Delta Dental of Wisconsin, Inc. and Humana list Koua Xiong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Koua Xiong was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.