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KENNETH J. BALDWIN D.D.S.
NPI 1669554119
Dentist - Oral and Maxillofacial Surgery in Salt Lake City, UT

Active since October 20, 2006Opted out of Medicare · through Jul 6, 2027
4046 HIGHLAND DR, SUITE #112, SALT LAKE CITY, UT 84124(801) 273-5600(801) 273-5678 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth J. Baldwin D.d.s. NPPES

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

KENNETH J. BALDWIN D.D.S. (NPI 1669554119) is an individual oral and maxillofacial surgery provider in Salt Lake City, Utah, licensed in Utah (144670-9924) and active in the NPI registry since October 2006. He has opted out of Medicare through July 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669554119
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameKENNETH J. BALDWINCredential: D.D.S.
Location Address4046 HIGHLAND DR, SUITE #112Salt Lake City, UT 84124-1673
Mailing Address4046 Highland Dr, Suite #112Salt Lake City, UT 84124-1673 · (801) 273-5600 · Fax (801) 273-5678
Phone(801) 273-5600
Fax(801) 273-5678
Sole ProprietorYes
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669554119 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 UT · 144670-9924
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.
4046 HIGHLAND DR, Salt Lake City, UT 84124
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Other Identifiers 1

Medicare UPINU18401UT

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kenneth J. Baldwin D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 6, 2015 through July 6, 2027.

Opt-Out Effective DateJuly 6, 2015
Opt-Out In Effect ThroughJuly 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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.

Other Providers at the Same Location NPPES 2

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

KIM G. ROBERTS DDS
Dentist (General Practice)
4046 HIGHLAND DR, #114
SALT LAKE CITY, UT 84124
Salt Lake County (801) 424-3500
DR. CURTIS C BEVAN D.D.S.
Dentist (General Practice)
4046 HIGHLAND DR, SUITE 113
SALT LAKE CITY, UT 84124
Salt Lake County (801) 272-3690

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 Kenneth Baldwin's NPI number?

The NPI number for Kenneth Baldwin is 1669554119. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Kenneth Baldwin located?

Kenneth Baldwin practices at 4046 Highland Dr Suite #112, Salt Lake City, UT 84124. The listed phone number is (801) 273-5600.

What is Kenneth Baldwin's specialty?

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

Is Kenneth Baldwin enrolled in Medicare?

No. Kenneth Baldwin has opted out of Medicare through July 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kenneth Baldwin accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Kenneth Baldwin 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 Kenneth Baldwin was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.