Active NPI
In Ho Kwon, D.D.S
- Endodontics
- La Habra, CA
National Provider Identifier
1245672625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DDS110030
- 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, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 40142 | TX | MD | Clinical Child & Adolescent Psychologist |
| DS039704 | PA | MD | Dentist |
| DDS110030 | CA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kwon Endodontics, Apc | Endodontics | Current | 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.
-
- Endodontics
- Laguna Hills, CA
- NPI 1699648675
-
- Endodontics
- Whittier, CA
- NPI 1407074271
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.