Robin Y Kwon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8586 Issued in OR

Practice address

1201 SE 223Rd
Suite 120
Gresham, OR 97030

Phone

(503) 661-2828

Fax

(503) 618-9874

NPI assigned

Sep 20, 2006

Last updated

Mar 15, 2021By 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 AZ

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

Practice roles

Locations

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.

• Kwon Dentistry, LLC

  dba Aesthetic Family Dentistry

  • General Practice Dentistry
  • Gresham, OR
  • NPI 1851666903
  Authorized official Same address or phone
• Isaac Hanset, DMD, LLC

  • Dental Clinic/Center
  • Gresham, OR
  • NPI 1225775976
  NPD
• Ray Road Dmso LLC

  dba Wellness Dental

  • Dental Clinic/Center
  • Chandler, AZ
  • NPI 1700245974
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1417054529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SE 223RD AVE STE 260",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302580",
            "telephone_number": "503-661-2828",
            "fax_number": "503-618-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SE 223RD",
            "address_2": "SUITE 120",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-661-2828",
            "fax_number": "503-618-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "ROBIN",
        "middle_name": "Y",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kuns Chiropractic Clinic
• Kuns Chiropractic Clinic Inc
• Westley Merrill Kuns, D.C.
• Killian Kuntz, LPC
• Kwon Dentistry, LLC (Aesthetic Family Dentistry)
• Shan-Ai Kwong
• Cara R Lacey-Morey, SLP
• Anthony Santo Ladogana, M.D.
• Luci A Ladue, CADC II/QMHP-R
• Mary Laflouf

• General Practice Dentistry in Gresham, OR
• Providers in Gresham, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.