Oh J. Kwon DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

46484 Issued in CA

Legal business name

OH J. KWON DDS, INC

Doing business as

BR Dental

Practice address

436 S Riverside Ave
Suite B
Rialto, CA 92376-6523

Phone

(909) 874-5200

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Oh Jae Kwon, DDS

Title

President

Phone

(909) 874-5200

Specialties & licenses 1

Addresses

Other names 1

• BR Dental Doing business as

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414195200000",
    "number": "1235286758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 S RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923766523",
            "telephone_number": "909-874-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 S RIVERSIDE AVE",
            "address_2": "SUITE B",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923766523",
            "telephone_number": "909-874-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OH J. KWON DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2014-10-25",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "OH JAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-874-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BR Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James O'Brien, SUDCC
• Ikechi Obioma Obiocha, MD
• Tabitha Obligacion, LEP
• Irma Obregon, PSY.D.
• Rani K Ogitani, B.A.
• Ejere Okorie, RN
• Olga M Aguinaga DDS Inc. (Rialto Dental Office)
• Mary J Olivas
• Rodrigo Olmos
• Elizabeth Olowo

• Dentist in Rialto, CA
• Providers in Rialto, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2014; 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.