NPIMap

Organization Active NPI

Jeremy Kwon & Associates Inc.

  • General Practice Dentistry
  • Granger, IN
National Provider Identifier
1861644718
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12011206A Issued in IN
Legal business name
JEREMY KWON & ASSOCIATES INC.
Practice address
6910 N Main St
Building 6B Unit 46
Granger, IN 46530-9680
Phone
(574) 247-2521
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Dr. Jeremy M.C. Kwon
Title
DDS
Phone
(574) 247-2521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12011206A IN Primary

Addresses

Primary practice location

6910 N Main St
Building 6B Unit 46
Granger, IN 46530-9680

Mailing address

6910 North Main Street
Building 6B Unit 46
Granger, IN 46530

National Provider Directory

National Provider Directory

Locations

6910 N Main St
Unit 46
Granger, IN 46530
Phone (574) 247-2521

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1861644718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 NORTH MAIN STREET",
            "address_2": "BUILDING 6B UNIT 46",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "46530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 N MAIN ST",
            "address_2": "BUILDING 6B UNIT 46",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309680",
            "telephone_number": "574-247-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY KWON & ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "M.C.",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "574-247-2521",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011206A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.