Kwon Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KWON DENTISTRY, LLC

Practice address

1201 SE 223Rd Ave Ste 260
Gresham, OR 97030-2580

Phone

(503) 661-2828

Fax

(503) 618-9874

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robin Kwon, D.D.S.

Title

Dentist / Owner

Phone

(503) 661-2828

Specialties & licenses 1

Addresses

Other names 1

• Aesthetic Family Dentistry Doing business as

Locations

Practitioners 1

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

• Isaac Leon Hanset, DMD

  • General Practice Dentistry
  • Gresham, OR
  • NPI 1184223166
  NPD

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1851666903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SE 223RD AVE STE 260",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302580",
            "telephone_number": "503-661-2828",
            "fax_number": "503-618-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SE 223RD AVE STE 260",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302580",
            "telephone_number": "503-661-2828",
            "fax_number": "503-618-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWON DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "503-661-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aesthetic Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Kay Kulla
• Kuns Chiropractic Clinic
• Kuns Chiropractic Clinic Inc
• Westley Merrill Kuns, D.C.
• Killian Kuntz, LPC
• Robin Y Kwon, DDS
• Shan-Ai Kwong
• Cara R Lacey-Morey, SLP
• Anthony Santo Ladogana, M.D.
• Luci A Ladue, CADC II/QMHP-R

• General Practice Dentistry in Gresham, OR
• Providers in Gresham, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.