Active NPI
Justin J Kwon DDS, P.C.
Doing business as Green Dental
- General Practice Dentistry
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9372
- Legal business name
- JUSTIN J KWON DDS, P.C.
- Doing business as
- Green Dental
- Practice address
- 10700 E Bethany Dr Ste 210
Aurora, CO 80014-2680 - Phone
- (303) 745-8828
- NPI assigned
- Feb 11, 2016
- Last updated
- Feb 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Kwon
- Title
- President
- Phone
- (720) 340-0348
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9372 | CO | Primary |
Addresses
Primary practice location
10700 E Bethany Dr Ste 210
Aurora, CO 80014-2680
Mailing address
10700 E Bethany Dr Ste 210
Aurora, CO 80014-2680
Phone (303) 745-8828
Other names 1
- Green Dental
National Provider Directory
National Provider DirectoryLocations
10700 E Bethany Dr
Ste 210
Aurora, CO 80014
Phone (303) 745-8828
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Aurora, CO
- NPI 1982745634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455148800000",
"number": "1366801953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 E BETHANY DR STE 210",
"city": "AURORA",
"state": "CO",
"postal_code": "800142680",
"telephone_number": "303-745-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 E BETHANY DR STE 210",
"city": "AURORA",
"state": "CO",
"postal_code": "800142680",
"telephone_number": "303-745-8828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUSTIN J KWON DDS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-11",
"last_updated": "2016-02-11",
"status": "A",
"authorized_official_last_name": "KWON",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "720-340-0348"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "9372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Green Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.