Organization Active NPI

Kwon Dental Care, P.C.

  • Dental Clinic/Center
  • Palatine, IL
National Provider Identifier
1124359575
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019026324 Issued in IL
Legal business name
KWON DENTAL CARE, P.C.
Practice address
177 W Northwest Hwy
Palatine, IL 60067-3550
Phone
(847) 991-0903
Fax
(847) 991-0832
NPI assigned
Jan 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Dr. James Ikjae Kwon, DDSNPI 1023008174
Title
Owner/ Dentist
Phone
(847) 991-0903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X
Dental Clinic/Center 261QD0000X 019026324 IL Primary

Addresses

Primary practice location

177 W Northwest Hwy
Palatine, IL 60067-3550

Mailing address

177 W Northwest Hwy
Palatine, IL 60067-3550
Phone (847) 991-0903

Other identifiers 1

IdentifierTypeStateIssuer
019026324MedicaidIL

Other names 1

  • Brite Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

177 W Northwest Hwy
Palatine, IL 60067
Phone (847) 991-0903

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1124359575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 W NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600673550",
            "telephone_number": "847-991-0903",
            "fax_number": "847-991-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 W NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600673550",
            "telephone_number": "847-991-0903",
            "fax_number": "847-991-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWON DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "IKJAE",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "847-991-0903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019026324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019026324",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brite Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.