Active NPI
David Won
- Dentist
- Riverside, CA
National Provider Identifier
1053973370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107006
- Practice address
- 10181 Magnolia Ave
Riverside, CA 92503-3444 - Phone
- (951) 200-3753
- NPI assigned
- Jul 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D010423 | AZ | |
| Dentist | 122300000X | 107006 | CA | Primary |
Addresses
Primary practice location
10181 Magnolia Ave
Riverside, CA 92503-3444
Mailing address
10996 Rincon St
Loma Linda, CA 92354-5219
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
| License | State | Type | Specialty |
|---|---|---|---|
| D010423 | AZ | MD | Dentist |
| 107006 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Won DDS Corporation | Dentist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Yucca Valley, CA
- NPI 1053154385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1053973370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10996 RINCON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923545219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10181 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033444",
"telephone_number": "951-200-3753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WON",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-08",
"last_updated": "2021-12-08",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D010423",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.