Hyuksoo Kwon, DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

0401412397 Issued in VA

Legal business name

HYUKSOO KWON, DDS, PC

Practice address

346 Elden St
Herndon, VA 20170-4818

Phone

(703) 956-6995

Fax

(703) 956-6997

NPI assigned

Jul 23, 2013

Last updated

Jul 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hyuksoo Kwon, D.D.S.NPI 1821326604

Title

President

Phone

(703) 956-6995

Specialties & licenses 1

Addresses

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.

• Hyuksoo Kwon, D.D.S., P.C.

  • General Practice Dentistry
  • Herndon, VA
  • NPI 1821326604
  NPD (past) Authorized official

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1174965867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 ELDEN ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704818",
            "telephone_number": "703-956-6995",
            "fax_number": "703-956-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 ELDEN ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704818",
            "telephone_number": "703-956-6995",
            "fax_number": "703-956-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUKSOO KWON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "HYUKSOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-956-6995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Taylor Humphries
• William B Hutcheson, OD
• Steven Van Huynh, PT, DPT
• Monica Luu Quach Hwang, M.D.
• Hysa Cognitive and Neurorehabilitation PLLC
• Stanley Idiculla, DPM
• Zarmina Ifzal, DMD
• Shamim Akhtar Imam, M.D.
• Imran Akram MD PC
• William A Incatasciato, MD

• Dentist in Herndon, VA
• Providers in Herndon, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.