NPIMap

Organization Active NPI

Paul Y Kwon, DDS, PLLC

Doing business as Kwon Family Dentistry

  • General Practice Dentistry
  • Quincy, WA
National Provider Identifier
1013553478
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PAUL Y KWON, DDS, PLLC
Doing business as
Kwon Family Dentistry
Practice address
746 F St SW
Quincy, WA 98848-1370
Phone
(509) 787-1507
Fax
(509) 787-2100
NPI assigned
Nov 20, 2019
Last updated
Nov 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Authorized official

Name
Stephanie Kwon
Title
Manager
Phone
(509) 787-1507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

746 F St SW
Quincy, WA 98848-1370

Mailing address

746 F St SW
Quincy, WA 98848-1370
Phone (509) 787-1507

Other names 1

  • Kwon Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Paul Y Kwon DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

746 F St SW
Quincy, WA 98848
Phone (509) 787-1507

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1013553478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 F ST SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481370",
            "telephone_number": "509-787-1507",
            "fax_number": "509-787-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 F ST SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481370",
            "telephone_number": "509-787-1507",
            "fax_number": "509-787-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL Y KWON, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-787-1507"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kwon Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.