Eunhae Park Kwon, DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EUNHAE PARK KWON, DDS, INC

Doing business as

Menlo Pediatric Dental

Practice address

1300 University Dr Ste 8
Menlo Park, CA 94025-4254

Phone

(650) 323-0264

NPI assigned

Jan 11, 2021

Last updated

Jan 11, 2021By the provider in NPPES

Organization subpart

Yes

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

Authorized official

Name

Dr. Eunhae Kwon, DDSNPI 1285867721

Title

Ceo

Phone

(650) 323-0264

Specialties & licenses 1

Addresses

Other names 1

• Menlo Pediatric Dental Doing business as

Part of

Eunhae Park Kwon DDS Inc

Locations

Practitioners 1

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.

• Eunhae Park Kwon, D.D.S

  • Pediatric Dentistry
  • Menlo Park, CA
  • NPI 1285867721
  Authorized official Same address or phone

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1144819509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UNIVERSITY DR STE 8",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254254",
            "telephone_number": "650-323-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 UNIVERSITY DR STE 8",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254254",
            "telephone_number": "650-323-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNHAE PARK KWON, DDS, INC",
        "organizational_subpart": "YES",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "EUNHAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-323-0264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Menlo Pediatric Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanya Erazo, PH.D.
• Nina Clark Ericson, PH.D.
• Heidemarie Ernst, M.D.
• Edna Marie Esnil, PSY.D.
• Sereno Esponilla
• Eusomniamd
• Alexandra Evans
• Jourdan Evans
• Caitlin Ewing, LCSW
• Excellence Dental Group a Partnership of Dr.Hakim, Inc & Dr.Patel, Inc

• Dental Clinic/Center in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.