NPIMap

Organization Active NPI

Hodong Kwon DDS PA

Doing business as Kwon Dental

  • Dentist
  • Dallas, TX
National Provider Identifier
1578917274
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29824 Issued in TX
Legal business name
HODONG KWON DDS PA
Doing business as
Kwon Dental
Practice address
11722 Marsh LN
#364
Dallas, TX 75229-2600
Phone
(214) 350-8608
Fax
(214) 350-0018
NPI assigned
Apr 19, 2016
Last updated
Apr 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Dr. Hodong Kwon, DDSNPI 1215348784
Title
President
Phone
(716) 235-0280

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 29824 TX Primary

Addresses

Primary practice location

11722 Marsh LN
#364
Dallas, TX 75229-2600

Mailing address

11722 Marsh LN
#364
Dallas, TX 75229-2600
Phone (214) 350-8608

Other names 1

  • Kwon Dental Doing business as

National Provider Directory

National Provider Directory

Locations

11722 Marsh Ln
Ste 364
Dallas, TX 75229
Phone (214) 350-8608

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1578917274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11722 MARSH LN",
            "address_2": "#364",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752292600",
            "telephone_number": "214-350-8608",
            "fax_number": "214-350-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11722 MARSH LN",
            "address_2": "#364",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752292600",
            "telephone_number": "214-350-8608",
            "fax_number": "214-350-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODONG KWON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "HODONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-235-0280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "29824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kwon Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.