Gae Won Kwon, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE.61294850 Issued in WA

Practice address

1901 Calle de Ninos
Las Cruces, NM 88005-3293

Phone

(575) 526-5522

NPI assigned

Aug 3, 2014

Last updated

Nov 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1407024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1649689704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13403 NEWCASTLE COMMONS DR APT 301",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593220",
            "telephone_number": "949-355-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CALLE DE NINOS",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053293",
            "telephone_number": "575-526-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "GAE WON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-03",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040063",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NM",
            "license": "DD5471",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE.61294850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gail Kuchler, APRN-BC FNP
• Stephanie M Kuensting, MS, CCC-SLP
• Thomas Jacob Kunz, O.D.
• John G Kutinac Jr., MA PA LPCC
• Mary Ellen Kutinac, RN
• L Victor Sandoval, P.C.
• L&M Christian Home Care
• La Casa, Inc.
• La Clinica de Familia (LCDF Lynn School Base)
• La Clinica de Familia, Incorporated

• Pediatric Dentistry in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Pediatric Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.