Vivian Okhee Kwon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43452 Issued in CA

Practice address

2955 Van Buren Blvd
Ste H4
Riverside, CA 92503-5674

Phone

(951) 689-8544

Fax

(951) 689-2465

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vivian Kwon D.D.S. Inc.

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1336510528
  NPD (past) Authorized official
• Engy Halim DDS Inc

  • Dental Clinic/Center
  • Riverside, CA
  • NPI 1154047975
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003834003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 CRESTVIEW RD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923746341",
            "telephone_number": "909-335-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 VAN BUREN BLVD",
            "address_2": "STE H4",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035674",
            "telephone_number": "951-689-8544",
            "fax_number": "951-689-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "VIVIAN",
        "middle_name": "OKHEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Kwasman, M.D.
• Cristalle Kwok, OD
• Hannah Cherrin Kwon, PHARMD
• Oh Jae Kwon, DDS
• Tony Sang-Jin Kwon, MD
• Yumi Kwon
• Sharon Kwong, BCBA
• Kyceline Trading, LLC
• Joyce Virginia La Bianco, LMFT
• La Sierra Family Dentistry

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.