Brian C Kwon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS042820 Issued in PA

Practice address

2014 Sandy Dr
State College, PA 16803-2515

Phone

(610) 372-8406

NPI assigned

Jul 23, 2020

Last updated

Mar 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Aligned Dental of Centre County, PC

  • Dental Clinic/Center
  • State College, PA
  • NPI 1902440795
  NPD
• Aligned Dental of Wyomissing

  dba The Sleep Apnea and Craniofacial Pain Center of Pennsylvania

  • General Practice Dentistry
  • Wyomissing, PA
  • NPI 1710677190
  NPD (past)
• Wyomissing Dental Associates, P.C.

  dba Grove Dental Group

  • General Practice Dentistry
  • Wyomissing, PA
  • NPI 1326318254
  NPD (past)

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1699384909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 SANDY DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032515",
            "telephone_number": "267-441-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 SANDY DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032515",
            "telephone_number": "610-372-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "BRIAN",
        "middle_name": "C",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shama Anil Kulkarni, DMD
• Elle Cruz Kunisch, CRNP
• Camryn Nicole Kurilla, NCC
• Linda Joyce Kurtz, MD
• Madison Kurtz, PA-C
• Kevin Peter Labosky, DMD
• Avra Ladrido
• Gina Christine Lafrazza, PSY.D.
• Rachel Lago, PH.D.
• Ronald Lakatos, MD

• General Practice Dentistry in State College, PA
• Providers in State College, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.