Active NPI
Kee Un Kwak, D.D.S.
- Pediatric Dentistry
- Garland, TX
National Provider Identifier
1912161902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 29966
- Practice address
- 2426 Belt Line Rd
Garland, TX 75044 - Phone
- (972) 530-3898
- Fax
- (972) 530-6100
- NPI assigned
- Jul 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 29966 | TX | Primary |
Addresses
Primary practice location
2426 Belt Line Rd
Garland, TX 75044
Mailing address
2813 Gulf Breeze CT
Plano, TX 75074
Phone (972) 530-3898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1912161902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2813 GULF BREEZE CT",
"city": "PLANO",
"state": "TX",
"postal_code": "75074",
"telephone_number": "972-530-3898",
"fax_number": "972-530-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2426 BELT LINE RD",
"city": "GARLAND",
"state": "TX",
"postal_code": "75044",
"telephone_number": "972-530-3898",
"fax_number": "972-530-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAK",
"first_name": "KEE",
"middle_name": "UN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-18",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "29966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.