Kwon & Baek DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

56362 Issued in CA

Legal business name

KWON & BAEK DDS INC

Practice address

1112 S Bristol St
Santa Ana, CA 92704-3420

Phone

(714) 668-9884

NPI assigned

Aug 23, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chang Hun Kwon, DDS

Title

President

Phone

(714) 668-9884

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bojun Park, D.D.S.

  • Dentist
  • Santa Ana, CA
  • NPI 1922293398
  NPD (past)

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1447684600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043420",
            "telephone_number": "714-668-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043420",
            "telephone_number": "714-668-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWON & BAEK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "CHANG",
        "authorized_official_middle_name": "HUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-668-9884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiara Lorraine Kurniadi, NONE
• David Kushner, LMFT
• Kasidy Chere Kuster
• Dioni Kwan
• Deborah Ann Kwang, PT
• James Kwon
• L.H. NP Inc
• L.T. Duong, M.D., Inc.
• La Clinica
• La Clinique Moliere Birthplace and Women S Wellness Corporation

• Dentist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.