Active NPI
Richard Hyungchoon Kwon, DDS
- Dentist
- San Bernardino, CA
National Provider Identifier
1194604264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 112313
- Practice address
- 222 N G St
San Bernardino, CA 92410-3269 - Phone
- (909) 383-7777
- NPI assigned
- Sep 2, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 112313 | CA | Primary |
Addresses
Primary practice location
222 N G St
San Bernardino, CA 92410-3269
Mailing address
24570 Stewart St
Loma Linda, CA 92354-2700
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1194604264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24570 STEWART ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N G ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924103269",
"telephone_number": "909-383-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "RICHARD",
"middle_name": "HYUNGCHOON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-02",
"last_updated": "2025-09-02",
"certification_date": "2025-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "112313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.