Peter S Kwon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13018 Issued in MD

Practice address

7970 Old Georgetown Rd
4-B
Bethesda, MD 20814-2447

Phone

(301) 657-9116

Fax

(301) 654-0480

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peter Kwon, DDS, LLC

  • General Practice Dentistry
  • Bethesda, MD
  • NPI 1972982320
  NPD (past) Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1619018009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7970 OLD GEORGETOWN RD",
            "address_2": "4-B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142447",
            "telephone_number": "301-657-9116",
            "fax_number": "301-654-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7970 OLD GEORGETOWN RD",
            "address_2": "4-B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142447",
            "telephone_number": "301-657-9116",
            "fax_number": "301-654-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "PETER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410839",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha Kwatra, DMD
• Virginia Elaine Kwitkowski, ACNP-BC
• Crystal Carpenter Kwon, D.M.D.
• David Hongseok Kwon, DMD
• Omin Kwon, MD
• Somin Kwon, MD
• Christina Jinyung Kwun, PHARM.D.
• Christina Lorraine La Croix, D.O.
• Michael Allen Labbe, LCPC
• Lisa Labianca, LLP

• General Practice Dentistry in Bethesda, MD
• Providers in Bethesda, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.