Kwon & Jabbour Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KWON & JABBOUR DENTAL INC

Practice address

108 La Casa Via
Suite #102
Walnut Creek, CA 94598-3013

Phone

(925) 930-8465

Fax

(925) 930-9955

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Hani Jabbour, DMDNPI 1639267594

Title

Doctor/Provider

Phone

(925) 930-8465

Specialties & licenses 1

Addresses

Tax ID family

Kwon Jabbour Dental Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kwon & Jabbour Dental, Inc.

  • Dental Clinic/Center
  • Walnut Creek, CA
  • NPI 1114370079
  NPD tax ID

Practitioners 2

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

• Hani R. Jabbour, DMD

  • General Practice Dentistry
  • Walnut Creek, CA
  • NPI 1639267594
  NPD (past) Authorized official
• Julie J. Kwon, DMD

  • General Practice Dentistry
  • Walnut Creek, CA
  • NPI 1861580730
  NPD (past)

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1629510201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LA CASA VIA",
            "address_2": "SUITE #102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983013",
            "telephone_number": "925-930-8465",
            "fax_number": "925-930-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LA CASA VIA",
            "address_2": "SUITE #102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983013",
            "telephone_number": "925-930-8465",
            "fax_number": "925-930-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWON & JABBOUR DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "JABBOUR",
        "authorized_official_first_name": "HANI",
        "authorized_official_title_or_position": "DOCTOR/PROVIDER",
        "authorized_official_telephone_number": "925-930-8465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Matthew Kutzscher, MD
• Judy Kwak
• Arden J.F. Kwan, MD
• Jennifer C.S Kwok, PMHNP-BC
• Kevin Kwok, CFO
• Kwon & Jabbour Dental, Inc.
• Gina Yu Kwon, PSYD
• Julie J. Kwon, DMD
• Austin Kwong, MD
• Kyaw Lin, DO Inc

• Dentist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.