Randy Kwon, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

14291636-9926 Issued in UT

Practice address

980 N Main St
Tooele, UT 84074-1616

Phone

(435) 833-9300

NPI assigned

Jun 11, 2026

Last updated

Jun 11, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1326972605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 W LOUISE AVE",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841151258",
            "telephone_number": "610-731-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741616",
            "telephone_number": "435-833-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Country Club Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Stansbury Park",
            "state": "UT",
            "postal_code": "840749602",
            "country_code": "US",
            "telephone_number": "435-210-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "RANDY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "14291636-9926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Tooele, UT
• Providers in Tooele, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.