NPIMap

Organization Active NPI

J Kwon DMD Inc

  • Dental Clinic/Center
  • Orange, CA
National Provider Identifier
1932576329
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
56656 Issued in CA
Legal business name
J KWON DMD INC
Practice address
245 N Glassell St
A
Orange, CA 92866-1408
Phone
(714) 532-5600
Fax
(714) 532-5603
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Jay Kwon, DMDNPI 1194908731
Title
President
Phone
(213) 925-7148

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 56656 CA Primary

Addresses

Primary practice location

245 N Glassell St
A
Orange, CA 92866-1408

Mailing address

245 N Glassell St
A
Orange, CA 92866-1408
Phone (714) 532-5600

National Provider Directory

National Provider Directory

Locations

245 N Glassell St
#A
Orange, CA 92866
Phone (714) 532-5600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1932576329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N GLASSELL ST",
            "address_2": "A",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661408",
            "telephone_number": "714-532-5600",
            "fax_number": "714-532-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N GLASSELL ST",
            "address_2": "A",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661408",
            "telephone_number": "714-532-5600",
            "fax_number": "714-532-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J KWON DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-925-7148",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.