Dennis Kim Kwon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60901870 Issued in WA

Practice address

1228 180TH Street CT E
Spanaway, WA 98387-1967

Phone

(206) 218-6946

NPI assigned

Oct 4, 2018

Last updated

Apr 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1184199267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 180TH STREET CT E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983871967",
            "telephone_number": "206-218-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 180TH STREET CT E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983871967",
            "telephone_number": "206-218-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "DENNIS",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-04",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DENT.DE.60901870",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60901870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Klimek, SLP
• Danielle Kline
• Simone Alexandria Koger, LMFT
• Jake Kopitzke, SSP
• Kwansoo Lee, DDS, PLLC (Spanaway Family Dentistry)
• Kelsie Ann Landers, MS, OTR/L
• Landon King DDS Justin Vanbibber DMD PLLC (SmallFoot Kids Dental)
• Kwansoo Lee, D.D.S.
• Peter John Lefeau, M.S.W.
• Ying Li

• General Practice Dentistry in Spanaway, WA
• Providers in Spanaway, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.