Individual provider Active NPI

Hyun K. Kwon, D.D.S.

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1023149358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00010275 Issued in WA
Practice address
7632 S 126TH St
Seattle, WA 98178-4835
Phone
(206) 772-5673
Fax
(206) 772-5674
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00010275 WA Primary

Addresses

Primary practice location

7632 S 126TH St
Seattle, WA 98178-4835

Mailing address

7632 S 126TH St
Seattle, WA 98178-4835
Phone (206) 772-5673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE00010275WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hyun Kwon DDS PLLC General Practice CurrentSince Nov 6, 2022 Accepting new patients
Yes Washington, PLLC General Practice Past Accepting new patients
JJ Dental LLC General Practice Past Accepting new patients

Locations

18204 Bothell Everett Hwy
Ste E
Bothell, WA 98012
Phone (425) 806-0077

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023149358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7632 S 126TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981784835",
            "telephone_number": "206-772-5673",
            "fax_number": "206-772-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7632 S 126TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981784835",
            "telephone_number": "206-772-5673",
            "fax_number": "206-772-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "HYUN",
        "middle_name": "K.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • 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.