Jin Hee Kwak, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DDS100148 Issued in CA

Practice address

3640 Lomita Blvd Ste 202
Torrance, CA 90505-3982

Phone

(424) 257-5118

NPI assigned

Feb 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jinny Kwak Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Jin Hee Kwak DDS Inc

  dba ClearWave Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Torrance, CA
  • NPI 1164166419
  NPD Authorized official

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1902346612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD STE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053982",
            "telephone_number": "424-257-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD STE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053982",
            "telephone_number": "424-257-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAK",
        "first_name": "JIN HEE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS100148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JINNY",
            "last_name": "KWAK",
            "prefix": "DR.",
            "credential": "DDS, MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jillian Kusumoto, M.S., CCC-SLP
• Sally Kutsunai, PH.D.
• Michelle Alyssa Kuwabara, OTD, OTR/L
• Ray Kuwahara, D.D.S.
• John H. Kuwata, M.D.
• Jaclyn Kwan, P.A.
• Julia May Kwan, M.D.
• Karen W Kwan, M.D.
• Kathryn Kwan, OTR/L
• Wilson Kwan, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Torrance, CA
• Providers in Torrance, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.