KENNY NGUYEN DDS
NPI 1528637378
Dentist - Oral and Maxillofacial Surgery in Charleston, WV
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 and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenny Nguyen Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kenny Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charleston, WV 25304
- Reassigned Medicare billing, West Virginia enrollment
- 12 clinicians in this Medicare group
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 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.
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.
CHARLESTON, WV 25304
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kenny Nguyen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenny Nguyen reassigns Medicare benefits to Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc (Charleston, WV). 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 Kenny Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenny Nguyen accept?
Health plans from Anthem Blue Cross and Blue Shield, Highmark Blue Cross Blue Shield West Virginia and Humana list Kenny 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 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 3 months 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.
# Kenny Nguyen, DDS · NPI 1528637378
Oral and Maxillofacial Surgery provider in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since June 24, 2021.
## Identity
- **NPI:** 1528637378 (Entity type: Individual)
- **Enumerated:** June 24, 2021
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 4825 (West Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4307 MACCORKLE AVE SE, Charleston, WV 25304-2500
- **Phone:** (304) 720-7819
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc (NPI 1447711858, Charleston, WV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** July 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1528637378) · Data from the CMS NPPES public registry.