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KENNY NGUYEN DDS
NPI 1528637378
Dentist - Oral and Maxillofacial Surgery in Charleston, WV

Active since June 24, 2021PECOS Enrolled
4307 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 720-7819 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 14, 2026, Jun 24, 2021 (2 updates tracked since 2021).

About Kenny Nguyen Dds NPPES

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

KENNY NGUYEN DDS (NPI 1528637378) is an individual oral and maxillofacial surgery provider in Charleston, West Virginia, licensed in West Virginia (4825) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528637378
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameKENNY NGUYENCredential: DDS
Location Address4307 MACCORKLE AVE SECharleston, WV 25304-2500
Mailing Address103 Station Place WayHurricane, WV 25526-8747 · (304) 720-7819
Phone(304) 720-7819
Sole ProprietorYes
Enumeration DateJune 24, 2021
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1528637378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WV · 4825
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4307 MACCORKLE AVE SE, Charleston, WV 25304
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenny Nguyen 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 25304 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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 3

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

MRS. CARI STOVER NP-C
Nurse Practitioner
4307 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 205-6123
STACIE BOWEN APRN-CNP
Nurse Practitioner (Family)
4307 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 205-6123
DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
Dentist (Oral and Maxillofacial Surgery)
4307 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 345-1092

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 Kenny Nguyen's NPI number?

The NPI number for Kenny Nguyen is 1528637378. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Kenny Nguyen located?

Kenny Nguyen practices at 4307 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 720-7819.

What is Kenny Nguyen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kenny Nguyen enrolled in Medicare?

Yes. Kenny Nguyen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenny Nguyen was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.