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Dr. Jonathan J Kolon , DDS

Dentist - General Practice β€’ Santa Clara, UT

Active NPI 1225239171 Individual Practitioner Male Practitioner
Practice location in NPPES

3176 Santa Clara Drive
Santa Clara, UT 84765

Call 4356156819 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3176 Santa Clara Drive

Santa Clara, UT 84765

Telephone 4356156819
Fax 4356580041
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Portsmouth, VA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Kolon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Kolon as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Santa Clara and Utah

3 active clinicians are listed under Dentist - General Practice with a practice address in Santa Clara, UT (1,319 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-09-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES UT 4994088

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Fein
201588686 (UT)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20210712000018

Enrollment State Jurisdiction

UT

PECOS Control ID

6103228309

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

Naval Medicasl Center Portsmouth

Portsmouth, VA 23708

Phone: 7579592711

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Business Mailing Address September 28, 2020

Registered at 3176 SANTA CLARA DR, SANTA CLARA, UT 847655338 (Tel: 4356156819)

βœ…
NPI Profile Active September 21, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location September 21, 2017

Registered at 3176 SANTA CLARA DRIVE, SANTA CLARA, UT 84765 (Tel: 4356156819)

πŸ“
Updated Business Mailing Address September 21, 2017

Registered at P.O. BOX 2339, PARK CITY, UT 84060 (Tel: (435) 615-6819)

πŸ‘€
Provider Name / Credentials Updated September 21, 2017

Recorded as JONATHAN KOLON, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2017

Dentist (license number reported to NPPES: UT 4994088)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 6415 BUSINESS PARK LOOP RD STE J, PARK CITY, UT 840986218 (Tel: 4356580032)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 6415 BUSINESS PARK LOOP RD STE J, PARK CITY, UT 840986218 (Tel: 4356580032)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as JONATHAN KOLON, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (license number reported to NPPES: UT 4994088)

🟒
Initial NPI Registration & Enumeration May 29, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1225239171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2007
Last Update: September 28, 2020
Sole Proprietor: No

Mailing Address

3176 Santa Clara Dr

Santa Clara, UT 847655338

Phone: 4356156819

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.