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DR. KIM-LOAN NGUYEN DDS
NPI 1528620390
Dentist - General Practice in Holladay, UT

Active since July 02, 2019PECOS Enrolled
2200 E 4500 S STE 100, HOLLADAY, UT 84117(801) 288-1888 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kim-loan Nguyen Dds NPPES

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

DR. KIM-LOAN NGUYEN DDS (NPI 1528620390) is an individual general practice provider in Holladay, Utah, licensed in Utah (5005527-9921) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth Univ School Of Dentistry (2019).

NPPES Registry Identity

NPI1528620390
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KIM-LOAN NGUYENCredential: DDS
Location Address2200 E 4500 S STE 100Holladay, UT 84117-4032
Mailing Address2200 E 4500 S Ste 100Holladay, UT 84117-4032 · (801) 288-1888
Phone(801) 288-1888
Sole ProprietorNo
Medical School CMSVirginia Commonwealth Univ School Of DentistryGraduated 2019
Enumeration DateJuly 2, 2019
✔ NPI 1528620390 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 · 5005527-9921
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.
2200 E 4500 S STE 100, Holladay, UT 84117
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Other Names 1

Professional Name (2)Dr. Loan Kim Nguyen Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim-loan Nguyen Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820584980
PECOS Enrollment IDI20251229002164
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.

Medicare Billing Reassignment

Medicare enrollment records show Kim-loan Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sgwj Dental PLLC
9.9 mi
Dental
6973 S COUGAR LN STE D
West Jordan, UT 84084
  • Reassigned Medicare billing, Utah enrollment
  • 2 clinicians in this Medicare group
NPI 1457243784 (801) 982-0332

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84117 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 Kim-loan Nguyen's NPI number?

The NPI number for Kim-loan Nguyen is 1528620390. It was assigned to this individual provider in the NPPES registry on July 2, 2019. The provider is also known as Dr. Loan Kim Nguyen Dds.

Where is Kim-loan Nguyen located?

Kim-loan Nguyen practices at 2200 E 4500 S Ste 100, Holladay, UT 84117. The listed phone number is (801) 288-1888.

What is Kim-loan Nguyen's specialty?

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

Is Kim-loan Nguyen enrolled in Medicare?

Yes. Kim-loan Nguyen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim-loan Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim-loan Nguyen reassigns Medicare benefits to Sgwj Dental PLLC (West Jordan, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kim-loan Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim-loan Nguyen accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 11 other insurers list Kim-loan Nguyen 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 Kim-loan Nguyen was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.