Organization Active NPI

Ojin Kwon DDS Inc

  • Dentist
  • Diamond Bar, CA
National Provider Identifier
1952818130
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OJIN KWON DDS INC
Practice address
20657 Golden Springs Dr Ste 205B
Diamond Bar, CA 91789-3837
Phone
(909) 859-8800
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Janice Park
Title
Admin
Phone
(714) 337-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

20657 Golden Springs Dr Ste 205B
Diamond Bar, CA 91789-3837

Mailing address

20657 Golden Springs Dr Ste 205B
Diamond Bar, CA 91789-3837

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1952818130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20657 GOLDEN SPRINGS DR STE 205B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917893837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20657 GOLDEN SPRINGS DR STE 205B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917893837",
            "telephone_number": "909-859-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OJIN KWON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "714-337-4410"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.