Individual provider Active NPI

In Ho Kwon, D.D.S

  • Endodontics
  • La Habra, CA
National Provider Identifier
1245672625
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DDS110030 Issued in CA
Practice address
1480 S Harbor Blvd Ste 5
La Habra, CA 90631-7564
Phone
(714) 970-5200
NPI assigned
Jul 25, 2013
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS039704 PA
Endodontics 1223E0200X 40142 TX
Endodontics 1223E0200X DS039704 PA
Endodontics 1223E0200X DDS110030 CA Primary

Addresses

Primary practice location

1480 S Harbor Blvd Ste 5
La Habra, CA 90631-7564

Mailing address

60 Cattleman
Irvine, CA 92602-0305
Phone (706) 306-7975

Other practice location 1

7201 Painter Ave
Whittier, CA 90602-1451
Phone (562) 698-7925

Other practice location 2

13079 Artesia Blvd Ste B120
Cerritos, CA 90703-1483
Phone (706) 306-7975

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

State licenses

LicenseStateTypeSpecialty
40142TXMDClinical Child & Adolescent Psychologist
DS039704PAMDDentist
DDS110030CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Kwon Endodontics, Apc Endodontics CurrentSince Sep 28, 2025 Accepting new patients
Kwor Chieh Loo DDS Apc Endodontics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1245672625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CATTLEMAN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926020305",
            "telephone_number": "706-306-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD STE 5",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317564",
            "telephone_number": "714-970-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7201 Painter Ave",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906021451",
            "country_code": "US",
            "telephone_number": "562-698-7925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13079 Artesia Blvd Ste B120",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907031483",
            "country_code": "US",
            "telephone_number": "706-306-7975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "IN",
        "middle_name": "HO",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-25",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039704",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "40142",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS039704",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "DDS110030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.