Oh Cheol Kwon

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17031 Issued in MD

Practice address

9600 Blackwell Rd Ste 101
Rockville, MD 20850-3670

Phone

(310) 330-9644

NPI assigned

Feb 27, 2018

Last updated

Aug 12, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1265933071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 105",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 BLACKWELL RD STE 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503670",
            "telephone_number": "310-330-9644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Hubbard Dr",
            "address_purpose": "LOCATION",
            "city": "North Bethesda",
            "state": "MD",
            "postal_code": "208524823",
            "country_code": "US",
            "telephone_number": "301-377-8306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "OH CHEOL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-27",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Yun-Ho Kwak, MD
• Bennett Kwakye JNR
• Leslie Kwakye
• Tammy Kwan-Weyman, PT
• Jung DO Kwon, D.M.D.
• Maxwell Junior Kyei Boakye
• Angela Kyenge
• Ella Kyker
• Kyn Health (Ellie Mental Health)
• Laboratory Corporation of America

• General Practice Dentistry in Rockville, MD
• Providers in Rockville, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.